Active NPI
Samuel B Randall, BCBA
- Behavior Analyst
- Fort Worth, TX
National Provider Identifier
1740191790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 9504 S FM 1187
Fort Worth, TX 76126-6007 - Phone
- (817) 991-1775
- NPI assigned
- Sep 16, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
9504 S FM 1187
Fort Worth, TX 76126-6007
Mailing address
9504 S FM 1187
Fort Worth, TX 76126-6007
Phone (817) 991-1775
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789516800000",
"number": "1740191790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9504 S FM 1187",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761266007",
"telephone_number": "817-991-1775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9504 S FM 1187",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761266007",
"telephone_number": "817-991-1775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANDALL",
"first_name": "SAMUEL",
"middle_name": "B",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-09-16",
"last_updated": "2026-09-16",
"certification_date": "2026-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
- Randall Bentley DO PA
- Breanne Randall, PNP
- Erin Leigh Randall, LMSW
- Ron Dewayne Randall, MED LPC LMFT
- Sakimo Randall
- Randalls Food & Drugs LP (Tom Thumb Pharmacy #3589)
- Randalls Food & Drugs LP (Tom Thumb Pharmacy #3622)
- Randalls Food & Drugs LP (Tom Thumb Pharmacy#2574)
- Randalls Food & Drugs LP (Tom Thumb Pharmacy #3312)
- Janice L Randel, CPNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.