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General NPI Number Information
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NPI Number | 1003485095
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Entity Type | Individual
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Provider Name | SAMANTHA YOUNG
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Gender | Female
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Dates
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Enumeration Date | 06/23/2021
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 25201 KUYKENDAHL RD STE 400
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City | TOMBALL
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State | TX
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Zip | 77375-3403
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Country | US
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Telephone | 833-543-7768
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Fax |
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Provider Business Mailing Address
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Address Line | 1922 N LOCUST ST
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City | DENTON
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State | TX
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Zip | 76209-1802
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Country | US
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Telephone | 940-536-3296
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-25-86793
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License Number State | TX
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