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

Samantha Lynn Bruder

Individual provider Behavior Technician · NPI 1902762172

Samantha Lynn Bruder is a Behavior Technician in Fairfax, Virginia. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

11200 Waples Mill Rd Ste 100
Fairfax, VA 22030-7475
Phone: (703) 237-2219
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 number1902762172
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 31, 2025
Last updated in NPPESDecember 31, 2025
Certification dateDecember 31, 2025

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