SAMANTHA WAGNER


Address: 16782 Von Karman Ave Ste 11, Irvine, CA 92606
Phone: 9498332237

SAMANTHA WAGNER (NPI# 1134559966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134559966
Entity Type Individual
Full Name SAMANTHA WAGNER
Credential BCBA
Practice Address 16782 Von Karman Ave Ste 11
Irvine
CA 92606
Mailing Address 16782 Von Karman Ave Ste 11
Irvine
CA 92606-2417
Practice Telephone 9498332237
Mailing Telephone 9498332237
Mailing Fax Number 4808987419
Enumeration Date 2013-11-14
Last Update Date 2019-09-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst 1-13-14654 AZ Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
4530 E Muirwood Dr, Suite 103, Phoenix, AZ 850487639 4806106981 4808987419

Other Providers SAMANTHA WAGNER

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1770943078 Samantha Ann Wagner Specialist/Technologist 170 Athletic Ctr, Stillwater, OK 74078-0001 2016-02-29
1083245781 Samantha Nicole Wagner Behavior Technician 1563 Kingsley Ave Ste 103, Orange Park, FL 32073-4503 2020-01-31
1538631114 Samantha Elizabeth Wagner Nurse Practitioner 209 9th St, Rockford, IL 61104-2235 2018-12-20
1689151391 Samantha Wagner Pharmacist 410 W 10th Ave, 368 Doan Hall, Columbus, OH 43210 2018-07-25
1124524608 Samantha Wagner Social Worker 8616 Northern Ave, Rockford, IL 61107-5309 2018-04-03
1013415199 Samantha Brooke Wagner Counselor 3230 Waring Ct Ste A, Oceanside, CA 92056-4509 2018-01-24
1598272429 Samantha Rose Wagner Social Worker 8261 Market St, Boardman, OH 44512-6254 2017-12-31
1528595394 Samantha Louise Wagner Student in an Organized Health Care Education/Training Program 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 2017-05-11
1508311622 Samantha M Wagner Registered Nurse 191 N Main St, Wellsville, NY 14895-1150 2016-08-18
1669801791 Samantha Wagner Social Worker 30 Prospect Ave, Hackensack, NJ 07601-1914 2013-11-08

Office Location

Street Address 16782 VON KARMAN AVE STE 11
City IRVINE
State CA
Zip Code 92606

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326117789 Chandra Zern Behavioral Analyst 16782 Von Karman Ave Ste 11, Irvine, CA 92606-2417 2006-11-07
1093316846 Noemi Scatena Behavior Technician 16782 Von Karman Ave Ste 11, Irvine, CA 92606-2417 2020-11-06
1487255691 Rosaline Nashed Behavior Technician 16782 Von Karman Ave Ste 11, Irvine, CA 92606-2417 2020-11-04
1003416876 Apriliani Thio Behavior Technician 16782 Von Karman Ave Ste 11, Irvine, CA 92606-2417 2020-10-29
1366041410 Joseph Ferraro Behavior Technician 16782 Von Karman Ave Ste 11, Irvine, CA 92606-2417 2020-10-20
1881292787 Andrea Alexandra Sandoval Behavior Technician 16782 Von Karman Ave Ste 11, Irvine, CA 92606-2417 2020-10-13
1043818347 Samantha Reek Behavior Technician 16782 Von Karman Ave Ste 11, Irvine, CA 92606-2417 2020-10-09
1215542337 Hailey Lefante Behavior Technician 16782 Von Karman Ave Ste 11, Irvine, CA 92606-2417 2020-09-15
1437764560 Lauren Marie Chetwood Behavior Technician 16782 Von Karman Ave Ste 11, Irvine, CA 92606-2417 2020-09-15
1861006868 Kidspeak Oc, Inc. Speech-Language Pathologist 16782 Von Karman Ave Ste 11, Irvine, CA 92606-2417 2020-09-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912384967 Roxanne Betancourt Behavioral Analyst 16782 Von Karman Avenue Suite 11, Irvine, CA 92606 2015-04-29
1942552096 East Haradin Acupuncturist 3 Corporate Park, Irvine, CA 92606 2012-10-12
1730434622 Fountain Modern Dentistry and Orthodontics, LLP Dentist 2860 Michelle Drive 2nd Floor, Irvine, CA 92606 2012-07-17
1205100898 Maria Del Pilar Aguero Marriage & Family Therapist 20 Corporate Park #118, Irvine, CA 92606 2012-02-29
1013292077 Hanah &health, Inc. Acupuncturist 2691 Richter Ave Suite 120, Irvine, CA 92606 2011-10-20
1831474345 Elham Shoja Psychologist 8 Corporate Park Suite 300, Irvine, CA 92606 2011-10-15
1154631869 Frances Lam Acupuncturist 2400 Alton Ave., Ste. 208, Irvine, CA 92606 2010-10-15
1174848055 Oc Physical Therapy Corporation Clinic/Center 62 Coporate Park, 145, Irvine, CA 92606 2010-04-02
1770714941 Yuhong She Obstetrics & Gynecology 3500 Barranca Parkway, Ste. 230, Irvine, CA 92606 2009-08-05
1235396136 Kevin K Lim Dentist 16525 Von Karman Ave, #f, Irvine, CA 92606 2008-05-19
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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003427204 Janki Merai Behavioral Analyst 51 Dorado, Irvine, CA 92618-1318 2020-08-11
1326609918 Jessica Ann Marines Behavioral Analyst 5200 Bonita Canyon Dr, Irvine, CA 92603-0165 2019-06-24
1881254035 Kassandra De Jesus Aguilar Behavioral Analyst 562 Saint Vincent, Irvine, CA 92618-3933 2019-06-19
1851957476 Brandon Reeder Behavioral Analyst 18008 Sky Park Cir Ste 100, Irvine, CA 92614-6434 2019-05-20
1083277172 Reece Arthur Behavioral Analyst 16782 Von Karman Ave Ste 21, Irvine, CA 92606-2418 2019-04-15
1962976118 Cameron Tyler Fateri Behavioral Analyst 47 Golden Eagle, Irvine, CA 92603-0308 2019-01-21
1326512575 Paula Andrea Echeverry Sandoval Behavioral Analyst 93 Stepping Stone, Irvine, CA 92603-4207 2019-01-21
1053884049 Darlene Varciag Behavioral Analyst 44 Kazan St, Irvine, CA 92604-2456 2019-01-02
1669956074 Behavioral Education Skill Treatment Center Behavioral Analyst 17802 Sky Park Cir Ste 105, Irvine, CA 92614-6405 2018-09-20
1568948479 Andrea M Jackson Behavioral Analyst 2091 Business Center Dr Ste 150, Irvine, CA 92612-1167 2018-07-13
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Competitor

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City IRVINE
Zip Code 92606

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Dataset Information

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.

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