SAMANTHA MOORE (NPI# 1356990667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356990667 |
| Entity Type | Individual |
| Full Name | SAMANTHA MOORE |
| Credential | RBT |
| Practice Address |
11935 Mastin St Overland Park KS 66213-1629 |
| Practice Telephone | 9139011925 |
| Mailing Telephone | 9139011925 |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2019-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-19-98420 | KS | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457960825 | Samantha Moore | Social Worker | 6543 Las Vegas Blvd S, Las Vegas, NV 89119-3223 | 2020-07-30 |
| 1255813291 | Samantha Pena Moore | Behavioral Analyst | 3446 Post Road, Warwick, RI 02886 | 2018-09-06 |
| 1972099331 | Samantha Ann Moore | Physical Therapist | 103 N Main St # 201, Greenville, SC 29601-2796 | 2018-07-09 |
| 1467989103 | Samantha Moore | Counselor | 9428 Brookline Ave Ste 2, Baton Rouge, LA 70809-1428 | 2017-05-12 |
| 1821541707 | Samantha Moore | Physical Therapist | 23083 Jensen Ct, Grand Terrace, CA 92313-5579 | 2016-07-27 |
| 1154741106 | Samantha Heuertz Moore | Psychiatry & Neurology | 501 Eastowne Dr Ste 220, Chapel Hill, NC 27514-6224 | 2014-04-17 |
| 1215281407 | Samantha Darlene Moore | Counselor | 4334 Back St, Kingston, OK 73439-5350 | 2012-11-09 |
| 1710539309 | Samantha Moore | Speech-Language Pathologist | 5544 Main St Fl 2, Williamsville, NY 14221-5406 | 2019-07-12 |
| 1013405356 | Samantha Tyler Moore | Counselor | 2003 Godwin Ave Ste C, Lumberton, NC 28358-3150 | 2018-04-23 |
| 1922519438 | Samantha Ann Moore | Student in an Organized Health Care Education/Training Program | 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 | 2017-10-24 |
| Street Address |
11935 MASTIN ST |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66213-1629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417106022 | Brittany Vaughn Mitchelson | Behavioral Analyst | 11935 Mastin St, Overland Park, KS 66213-1629 | 2008-09-18 |
| 1265083778 | Joni Brooks | Behavior Technician | 11935 Mastin St, Overland Park, KS 66213-1629 | 2019-09-25 |
| 1205483708 | Haley Medler | Behavior Technician | 11935 Mastin St, Overland Park, KS 66213-1629 | 2019-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003345372 | Nicole Renee Oliphant | Speech-Language Pathologist | 12810 W 133 Pl Apt 3109, Overland Park, KS 66213 | 2017-06-08 |
| 1770026874 | Alyssa Potter | Physical Therapy Assistant | 12202 Goodman St, Overland Park, KS 66213 | 2016-11-22 |
| 1164809380 | Jessica Richter | Family Medicine | 10100 W 119th St Ste 150, Overland Park, KS 66213 | 2015-04-27 |
| 1891180816 | Naresh Kumar Dugal | Podiatrist | 13410 Westgate St Apt 2110, Overland Park, KS 66213 | 2015-04-06 |
| 1801219456 | Denise Ahnen | Lactation Consultant, Non-RN | 121300 Metcalf Ave, Overland Park, KS 66213 | 2014-01-31 |
| 1407294986 | Blue Valley Asc, P.a. | Clinic/Center | 12800 Metcalf Avenue Suite 2, Overland Park, KS 66213 | 2013-06-06 |
| 1023455326 | Duncan Arnold Killen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 12542 W. 123rd Terr., Overland Park, KS 66213 | 2013-05-28 |
| 1821432345 | Seniorbridge Family Companies (mo), Inc. | In Home Supportive Care | 7304 W. 130th Street, Suite 100, Overland Park, KS 66213 | 2013-04-26 |
| 1538427273 | Charles E Emms D.c., Pa | Chiropractor | 11960 West 119th Street, 11960, Overland Park, KS 66213 | 2012-05-01 |
| 1194000570 | Phoenix Healthcare Clinic | Family Medicine | 11960 Quivira Road, Suite #100, Overland Park, KS 66213 | 2011-10-17 |
| Find all providers in zip 66213 | ||||
| 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 |
|---|---|---|---|---|
| 1285279513 | Amy Nguyen | Behavior Technician | 9700 W 104th St, Overland Park, KS 66212-5607 | 2019-11-11 |
| 1508335092 | Samantha Nicole Stevens | Behavior Technician | 7725 W. 87th Street, Overland Park, KS 66212 | 2018-11-14 |
| 1003415043 | Madison Katherine Rose Markham | Behavior Technician | 6394 College Blvd, Overland Park, KS 66211-1506 | 2020-10-21 |
| 1245837954 | Mercedes Woodiel | Behavior Technician | 7001 W 79th St, Overland Park, KS 66204-3179 | 2020-10-06 |
| 1962009688 | Justin Nguyen | Behavior Technician | 7001 W 79th St, Overland Park, KS 66204-3179 | 2020-10-06 |
| 1225644842 | Marguerite Gould | Behavior Technician | 7001 W 79th St, Overland Park, KS 66204-3179 | 2020-09-18 |
| 1841806460 | Marisol Jimenez | Behavior Technician | 7001 W 79th St, Overland Park, KS 66204-3179 | 2020-09-18 |
| 1558977173 | Mercedes Anderson | Behavior Technician | 7001 W 79th St, Overland Park, KS 66204-3179 | 2020-09-18 |
| 1427663244 | Kimberly Ballard | Behavior Technician | 7725 W 87th St, Overland Park, KS 66212-1905 | 2020-09-09 |
| 1114532991 | Austin Terry | Behavior Technician | 6394 College Blvd, Overland Park, KS 66211-1506 | 2020-09-09 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66213 |
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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.