MEDICARE: SAMANTHA FLOREZ

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	106S00000X	Behavior Technician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ABA-IN-10217601	OTHER	OR	HLO
2	RBT-21-187986	OTHER		BACB

General Provider Information

NPI Number	:	1013685981
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMANTHA FLOREZ

Provider Business Mailing Address
First Line	:	700 CHILDRENS DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43205-2664
Country	:	US
Telephone Number	:	614-722-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	195 W SCHROCK RD
Second Line	:
City	:	WESTERVILLE
State	:	OH
Zip	:	43081-2890
Country	:	US
Telephone Number	:	614-722-2000
Fax Number	:

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

Provider Enumeration Date	:	09/03/2021
Last Update Date	:	04/06/2026

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Directions to “ SAMANTHA FLOREZ ” Practice Location

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