SAMANTHA C GANDOLFO (NPI# 1013554161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013554161 |
| Entity Type | Individual |
| Full Name | SAMANTHA C GANDOLFO |
| Practice Address |
1 Corpine Ln Coram NY 11727-2603 |
| Practice Telephone | 6318092153 |
| Mailing Telephone | 6318092153 |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2019-12-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
1 CORPINE LN |
| City | CORAM |
| State | NY |
| Zip Code | 11727-2603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649891490 | Ocean Acupuncture PC | Acupuncturist | 1970-6, Coram, NY 11727 | 2020-05-04 |
| 1982254058 | Lynanne Helen Bopp | Student in an Organized Health Care Education/Training Program | 3600 Ny- 112, Coram, NY 11727 | 2019-09-19 |
| 1427604206 | Embrace Your Energy, LLC | Specialist/Technologist | 300 Wincoram Way, Coram, NY 11727 | 2019-08-16 |
| 1457842247 | Hina Ghani | Pharmacist | 1710 Ny-112, Coram, NY 11727 | 2018-05-29 |
| 1093219636 | James Brian Rochford Jr. | Social Worker | 1980 Ny Route 112, Coram, NY 11727 | 2018-03-20 |
| 1902324502 | Shanell Lovette Woodley | Registered Nurse | Country Club Drive, Apt 10 D, Coram, NY 11727 | 2017-09-03 |
| 1730606377 | Emani, Inc. | Respite Care | 5 Hagen Ct., Coram, NY 11727 | 2017-08-24 |
| 1124553292 | Zhimin Lin | Dentist | 1879 Ny-112, Coram, NY 11727 | 2017-04-26 |
| 1780125286 | Jennifer Zielinski | Specialist | 18 Cammann Road, Coram, NY 11727 | 2017-03-16 |
| 1194271486 | Kimberly Kowalczyk | Psychologist | 28 Hawkins Path, Coram, NY 11727 | 2016-08-28 |
| Find all providers in zip 11727 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497313001 | Jennifer Kane | Behavior Technician | 27 Arbutus Ln, Coram, NY 11727-3127 | 2019-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861610 | Abigail Elangovan | Behavior Technician | 8 The Pl, Glen Cove, NY 11542-2489 | 2020-11-05 |
| 1225639404 | Kareen Brown | Behavior Technician | 1902 149th St # R, Whitestone, NY 11357-3116 | 2020-11-04 |
| 1114528338 | Jaimee Coscia | Behavior Technician | Autism Learning Partners Buffalo, 905a Union Rd #213, West Seneca, NY 14224 | 2020-11-04 |
| 1184223729 | Fabienne Noreva Nelson | Behavior Technician | 116 Fillmore Ave, Deer Park, NY 11729-7004 | 2020-10-24 |
| 1932708807 | Shiga Sunny | Behavior Technician | 247 Jericho Tpke, New Hyde Park, NY 11040-4516 | 2020-10-22 |
| 1649878877 | Diamond White | Behavior Technician | 40 Lorraine Ave Apt 3b, Mount Vernon, NY 10553-1254 | 2020-10-09 |
| 1376141663 | Shenissa M Hyde | Behavior Technician | 2765 Matthews Ave Apt 5a, Bronx, NY 10467-8620 | 2020-10-09 |
| 1346847928 | Tamika Rodriguez | Behavior Technician | 4317 162nd St Apt 3, Flushing, NY 11358-3107 | 2020-10-06 |
| 1750998027 | Jill Terry | Behavior Technician | 9 Benedict Ln, New Windsor, NY 12553-8632 | 2020-09-30 |
| 1205443744 | Alina Fedorov | Behavior Technician | 457 Adams Ave, Staten Island, NY 10306-5422 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.