Samantha Lea Bauman

NPI #1376413567 in Grain Valley, Missouri

Provider Information

NPI Number: 1376413567
Entity Type: Individual
Name: Samantha Lea Bauman
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 11, 2025
Last Updated: Nov 11, 2025

Practice Location

Address: 120 SW GARDEN ST
City: Grain Valley
State: Missouri
ZIP Code: 64029-9548
Phone: (816) 265-1170

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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