IndividualActive
Samantha Bruder
NPI 1902762172 · Behavior Technician · Fairfax, VA
Samantha Bruder is a Behavior Technician provider in Fairfax, VA (NPI 1902762172).
Provider details
- NPI number
- 1902762172
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(47/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11200 Waples Mill Rd Ste 100
Fairfax, VA 22030-7475
Phone: (703) 237-2219
Street-level locationGet directions
Mailing address
225 Broadhollow Rd Ste 402
Melville, NY 11747-4899
Registry dates
- Enumerated
- 2025-12-31
- Last updated
- 2025-12-31
- Certified
- 2025-12-31
Frequently asked questions
- What is Samantha Bruder's NPI number?
- Samantha Bruder's National Provider Identifier (NPI) is 1902762172, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samantha Bruder's specialty?
- Samantha Bruder is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Samantha Bruder located?
- Samantha Bruder's practice location on file with NPPES is 11200 Waples Mill Rd Ste 100, Fairfax, VA 22030-7475.
- What is Samantha Bruder's phone number?
- The practice phone number listed in the NPPES registry for Samantha Bruder is (703) 237-2219.
- Is Samantha Bruder's NPI active?
- Yes — Samantha Bruder's NPI (1902762172) is active in the NPPES registry as of the last update on 2025-12-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.