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NPI Code Detail

MEDICARE: SAMYA ROBERTSON

MEDICARE: SAMYA ROBERTSON
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
1106S00000XBehavior TechnicianNC

General Provider Information

NPI Number : 1467308049
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMYA ROBERTSON
Provider Business Mailing Address
First Line : 714 ROCK SPRING RD
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28314-0852
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 102 SUPERIOR DR
Second Line :
City : SPRING LAKE
State : NC
Zip : 28390-3190
Country : US
Telephone Number : 910-500-7880
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2026
Last Update Date : 03/06/2026

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Directions to “ SAMYA ROBERTSON ” Practice Location

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