MEDICARE: SAMANTHA YOUNG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	1-25-86793	TX

General Provider Information

NPI Number	:	1003485095
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMANTHA YOUNG

Provider Business Mailing Address
First Line	:	1922 N LOCUST ST
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76209-1802
Country	:	US
Telephone Number	:	940-536-3296
Fax Number	:

Provider Business Practice Location Address
First Line	:	25201 KUYKENDAHL RD STE 400
Second Line	:
City	:	TOMBALL
State	:	TX
Zip	:	77375-3403
Country	:	US
Telephone Number	:	833-543-7768
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2021
Last Update Date	:	02/11/2026

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Directions to “ SAMANTHA YOUNG ” Practice Location

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