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General NPI Number Information
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NPI Number | 1669343026
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Entity Type | Organization
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Legal Business Name | SAMSON BEHAVIOR CENTER LLC
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Dates
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Enumeration Date | 09/17/2025
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 18036 PARK ROW APT 3606
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City | HOUSTON
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State | TX
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Zip | 77084-8150
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Country | US
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Telephone | 929-302-8199
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Fax |
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Provider Business Mailing Address
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Address Line | 25807 WESTHEIMER PARKWAY, SUITE 300 PMB 4000
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City | KATY
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State | TX
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Zip | 77494
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Country | US
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Telephone | 929-302-8199
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | EDWINE ST-JUSTE
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Credential |
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Telephone | 929-302-8199
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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 |
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License Number State |
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