SAMANTHA WAGNER (NPI# 1134559966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103K00000X | Behavioral Analyst | 1-13-14654 | AZ | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
4530 E Muirwood Dr, Suite 103, Phoenix, AZ 850487639 | 4806106981 | 4808987419 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
Street Address |
16782 VON KARMAN AVE STE 11 |
City | IRVINE |
State | CA |
Zip Code | 92606 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 92606 |
Taxonomy Code | 103K00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Behavioral Analyst |
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] |
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 |
Find all providers in IRVINE |
Please comment or provide details below to improve the information on SAMANTHA WAGNER.
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.