Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samantha Boolman

Individual provider Behavior Technician · NPI 1134869480

Samantha Boolman is a Behavior Technician in Port Orange, Florida. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

823 Dunlawton Ave
Port Orange, FL 32127-4220
Phone: (877) 823-4283
Fax: (352) 332-8589
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1134869480
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 1, 2022
Last updated in NPPESApril 1, 2022
Certification dateApril 1, 2022
Mailing address2035 Sw 75th St Ste B, Gainesville, FL 32607-3425

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