Provider Demographics
NPI:1184500613
Name:FLEMMING, SAMANTHA OLIVIA (RBT)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:OLIVIA
Last Name:FLEMMING
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12358 MAURA LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77044-1630
Mailing Address - Country:US
Mailing Address - Phone:754-284-9960
Mailing Address - Fax:
Practice Address - Street 1:3190 NORTH EXPRESSWAY SUITE 110
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:TX
Practice Address - Zip Code:30341
Practice Address - Country:US
Practice Address - Phone:404-487-6005
Practice Address - Fax:678-831-3005
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty