SAMANTHA LYNN CLIBORNE (NPI# 1114483294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114483294 |
Entity Type | Individual |
Full Name | SAMANTHA LYNN CLIBORNE |
Credential | RBT |
Practice Address |
2070 Northbrook Blvd Ste B4 North Charleston SC 29406-9254 |
Mailing Address |
4749 Skillmaster Ct North Charleston SC 29418-2225 |
Practice Telephone | 8435693033 |
Mailing Telephone | 7033079623 |
Enumeration Date | 2019-02-14 |
Last Update Date | 2019-02-14 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
RBT-18-55887 | SC | Allopathic & Osteopathic Physicians |
Street Address |
2070 NORTHBROOK BLVD STE B4 |
City | NORTH CHARLESTON |
State | SC |
Zip Code | 29406-9254 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356614242 | Mary Alex Verissimo | Physical Therapist | 2070 Northbrook Blvd Ste B4, North Charleston, SC 29406-9254 | 2012-02-23 |
1972112324 | Octavia Vadan | Behavior Technician | 2070 Northbrook Blvd Ste B4, North Charleston, SC 29406-9254 | 2020-07-30 |
1700445269 | Jenna Cornwall | Behavioral Analyst | 2070 Northbrook Blvd Ste B4, North Charleston, SC 29406-9254 | 2019-06-10 |
1982168316 | Kaylee Ramirez | Behavior Technician | 2070 Northbrook Blvd Ste B4, North Charleston, SC 29406-9254 | 2019-01-30 |
1184191082 | Lorena Kaelber | Occupational Therapist | 2070 Northbrook Blvd Ste B4, North Charleston, SC 29406-9254 | 2018-10-29 |
1437634912 | Brooke Johnson Alexander | Student in an Organized Health Care Education/Training Program | 2070 Northbrook Blvd Ste B4, North Charleston, SC 29406-9254 | 2018-10-01 |
1114406501 | Danielle Marie Ryan | Technician | 2070 Northbrook Blvd Ste B4, North Charleston, SC 29406-9254 | 2018-08-07 |
1003395567 | Regina Manfredi | Behavioral Analyst | 2070 Northbrook Blvd Ste B4, North Charleston, SC 29406-9254 | 2018-08-07 |
1407335912 | Jennifer Joy | Speech-Language Pathologist | 2070 Northbrook Blvd Ste B4, North Charleston, SC 29406-9254 | 2018-08-07 |
1588155758 | Kyla Wright | Behavior Technician | 2070 Northbrook Blvd Ste B4, North Charleston, SC 29406-9254 | 2018-05-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023622289 | Sara Desmarais | Physical Therapist | 2760 Tricom St, North Charleston, SC 29406 | 2020-09-04 |
1669036448 | Pink Elephant Autism Project | In Home Supportive Care | 8738 Red Oak Drive, Charleston, SC 29406 | 2019-04-26 |
1083171185 | Medical University Hospital Authority | Pharmacy | 2250 Mall Drive, North Charleston, SC 29406 | 2019-02-25 |
1336627371 | Truesdale Medical Center LLC | Internal Medicine | 6296 Rivers Ave., Suite 310, N. Charleston, SC 29406 | 2018-08-01 |
1164914552 | Amanda R Dipiazza | Nurse Anesthetist, Certified Registered | 9330 Medical Plaza Dr Ste E, Charleston, SC 29406 | 2018-06-01 |
1982148490 | Trident Medical Center | Psychiatric Hospital | 9225 C Medical Plaza Drive, Charleston, SC 29406 | 2016-12-19 |
1649726217 | First Choice Counseling Services, LLC | Community/Behavioral Health | 2245 Greenridge Rd., Unit#414, North Charleston, SC 29406 | 2016-09-01 |
1821443896 | Liberty Doctors, LLC | Family Medicine | 9275 D Medical Plaza Dr., North Charleston, SC 29406 | 2016-04-27 |
1174984645 | Ashia George | Developmental Therapist | 6650 Rivers Avenue, Ste 100, Charleston, SC 29406 | 2016-03-11 |
1023488582 | Etta Smith | Counselor | 2470 Mall Dr Unit Cd, North Charleston, SC 29406 | 2015-09-28 |
Find all providers in zip 29406 |
Taxonomy Code | 2080P0006X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Developmental – Behavioral Pediatrics |
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104013663 | Greenwood Genetics Center, Inc. | Pediatrics | 3520 W Montague Ave Ste 104, North Charleston, SC 29418-6083 | 2007-09-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023407996 | Eau Claire Cooperative Health Center, Inc. | Pediatrics | 4601 Monticello Road, Columbia, SC 29203 | 2015-01-15 |
1417985177 | Lawrence Kenneth Siegel | Pediatrics | 9 Richland Medical Park Dr Ste 210, Columbia, SC 29203-6859 | 2006-06-29 |
1134164437 | Tuomey Medical Professionals, Inc | Pediatrics | 250 W Wesmark Blvd, Sumter, SC 29150-1986 | 2006-06-19 |
1518917061 | Rae Lynne Hornsby | Pediatrics | 142 Milestone Way, Greenville, SC 29615-5065 | 2006-05-12 |
1639127673 | Susan Walden Md Pa | Pediatrics | 55 Alston Rd, Pawleys Island, SC 29585 | 2006-05-04 |
1649261462 | Greenwood Genetics Center, Inc. | Pediatrics | 106 Gregor Mendel Cir, Greenwood, SC 29646-2315 | 2005-11-01 |
1073506333 | Frank Reginald Brown IIi | Pediatrics | 305 E Cheves St, Suite 330, Florence, SC 29506-2610 | 2005-08-23 |
1629688171 | Metta Vita Health LLC | Pediatrics | 331 E Main St Ste 200, Rock Hill, SC 29730-5384 | 2020-08-08 |
1457848848 | Prisma Health Medical Group-midlands | Pediatrics | 9 Richland Medical Park Dr Ste 210, Columbia, SC 29203-6859 | 2018-04-20 |
1841644077 | Sara Elizabeth Lilly | Pediatrics | 701 Grove Rd Fl 5, Greenville, SC 29605-4210 | 2016-04-13 |
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City | NORTH CHARLESTON |
Zip Code | 29406 |
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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.