Individual
MICHAEL SAMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA, LBA
Contact information
Practice address
3006 BEE CAVES RD STE B200, AUSTIN, TX 78746-6751
(512) 328-5599
(512) 328-5585
Mailing address
3006 BEE CAVES RD STE B200, AUSTIN, TX 78746-6751
(512) 328-5599
(512) 328-5585
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-58923
—
103K00000X
Behavior Analyst
5075
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-22-58923
BEHAVIOR ANALYST CERTIFICATION BOARD
—
Enumeration date
05/27/2022
Last updated
05/27/2022
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