Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Samantha Fordham Depue, MEDCCC-SLP, BCBA

Individual provider Behavior Analyst · NPI 1114041613

Mrs. Samantha Fordham Depue, MEDCCC-SLP, BCBA is a Behavior Analyst in Columbus, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
Specialties on file
3
What do these letters mean?
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

6329 Brookstone Blvd
Columbus, GA 31904-2993
Phone: (706) 577-3942
Fax: (706) 287-1057
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SLP6138 (GA)
Behavior Analyst Taxonomy 103K00000X · Licence 1-22-62671
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1114041613
Entity typeIndividual (Type 1)
GenderFemale
Credentials MEDCCC-SLP , BCBA
Sole proprietorNo
NPI enumeratedMarch 19, 2007
Last updated in NPPESJune 27, 2025
Certification dateJune 27, 2025

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