Samantha Sublett
Individual provider Active NPI Behavior Analyst · Shepherd, TX
NPI 1831763309 · NPPES record last updated Nov 4, 2024
Key facts
- NPI
- 1831763309
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 7665 (TX)
- Practice address
- PO Box 1290
Shepherd, TX 77371-1290 - Phone
- (346) 331-9600
- NPI assigned
- May 18, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7665 | TX | MD | Behavioral Analyst |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 003895 | NY | |
| Behavior Analyst | 103K00000X | 7665 | TX | Yes |
Addresses
Primary practice location
PO Box 1290
Shepherd, TX 77371-1290
Mailing address
PO Box 1290
Shepherd, TX 77371-1290
Other providers in Shepherd, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.