Provider Demographics
NPI:1578377271
Name:SAUNDERS, SAMANTHA (RBT)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:
Last Name:SAUNDERS
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 1:4406 BOULDER LAKE CIR
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35242-7494
Mailing Address - Country:US
Mailing Address - Phone:304-860-5279
Mailing Address - Fax:
Practice Address - Street 1:1051 OAK MOUNTAIN DR
Practice Address - Street 2:
Practice Address - City:PELHAM
Practice Address - State:AL
Practice Address - Zip Code:35124-1324
Practice Address - Country:US
Practice Address - Phone:205-358-7311
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALRBT-24-393293106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician