Individual provider · Type 1 NPI

Patricia Samuel, BCBA, MA

Behavior Analyst · Douglasville, GA

NPI number 1487369831 Active

Practice location

9559 Highway 5 Ste 601
Douglasville, GA 30135-1572

Call (470) 632-5276 Map

Fax (317) 520-8200

Mailing address

3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst 103K00000XLBA001298 (GA)
Behavior Analyst Primary 103K00000X1-21-55405 (GA)

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1487369831

Patricia Samuel, BCBA, MA's National Provider Identifier is 1487369831, issued on Jan 19, 2023. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Douglasville, GA. The record was last updated on Feb 4, 2026.