Samantha Jackson, is a
Behavior Technician based in Humble, Texas. Samantha Jackson is licensed to practice in * (Not Available) (license number ) and her current practice location is
10602 Shimmer Bluff Ln, Humble, Texas. She can be reached at her office (for appointments etc.) via phone at
(281) 939-6652.
NPI number for Samantha Jackson is 1689136384 and her current mailing address is 10602 Shimmer Bluff Ln, Humble, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689136384.
Healthcare Provider's Profile
| Full Name | Samantha Jackson |
|---|
| Gender | Female |
|---|
| Speciality | Behavior Technician |
|---|
| Location | 10602 Shimmer Bluff Ln, Humble, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1689136384
- Provider Enumeration Date: 04/02/2019
- Last Update Date: 04/01/2025
Medical Identifiers
Medical identifiers for Samantha Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689136384 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Samantha Jackson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Samantha Jackson,
10602 Shimmer Bluff Ln,
Humble, TX 77396-3304
Ph: (281) 939-6652 | Samantha Jackson,
10602 Shimmer Bluff Ln,
Humble, TX 77396-3304
Ph: (281) 939-6652 |
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