Provider Demographics
NPI:1184030298
Name:SALINAS, SAMANTHA (BCBA, LMSW)
Entity Type:Individual
Prefix:MRS
First Name:SAMANTHA
Middle Name:
Last Name:SALINAS
Suffix:
Gender:F
Credentials:BCBA, LMSW
Other - Prefix:MS
Other - First Name:SAMANTHA
Other - Middle Name:
Other - Last Name:BARNES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6434 STAR SHADOW LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77066-3265
Mailing Address - Country:US
Mailing Address - Phone:713-303-5964
Mailing Address - Fax:
Practice Address - Street 1:13831 NORTHWEST FWY
Practice Address - Street 2:#575
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77040-5200
Practice Address - Country:US
Practice Address - Phone:832-358-2655
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-09
Last Update Date:2014-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11415108103K00000X
TX54054104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No104100000XBehavioral Health & Social Service ProvidersSocial Worker