Healthcare Provider Details

I. General information

NPI: 1659294759
Provider Name (Legal Business Name): SAMANTHA KAMBER MA, BCBA, LBA-NY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5923 STRICKLAND AVE
BROOKLYN NY
11234-6435
US

IV. Provider business mailing address

304 W 112TH ST APT 4R
NEW YORK NY
10026-3435
US

V. Phone/Fax

Practice location:
  • Phone: 877-950-0222
  • Fax:
Mailing address:
  • Phone: 561-523-7329
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-25-81457
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: