Individual provider · Type 1 NPI

Samantha Theresa Glaser, BCBA, LBA

Behavior Analyst · Port Jefferson Station, NY

NPI number 1790674364 Active

Practice location

299 Hallock Ave
Port Jefferson Station, NY 11776-1217

Call (631) 473-4284 Map

Mailing address

12 Wilmont Turn
Coram, NY 11727-1034

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000X004310-01 (NY)

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 1790674364

Samantha Theresa Glaser, BCBA, LBA's National Provider Identifier is 1790674364, issued on Jun 30, 2025. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Jun 30, 2025.