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

Samara Henderson

Individual provider Behavior Technician · NPI 1114689700

Samara Henderson is a Behavior Technician in Warren, Ohio. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
3
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Practice location Address checks out

8000 Bridle Ln NE
Warren, OH 44484-1403
Phone: (216) 260-1405
Fax: (330) 632-8823
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X
Behavior Technician Taxonomy 106S00000X
Community/Behavioral Health Agency Taxonomy 251S00000X

Record details

NPI number1114689700
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 11, 2021
Last updated in NPPESJuly 30, 2024
Certification dateFebruary 13, 2024
Mailing address2359 Knollwood Ave, Youngstown, OH 44514-1525

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