JEANNINE SAM (NPI# 1790197176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790197176 |
| Entity Type | Individual |
| Full Name | JEANNINE SAM |
| Credential | BCBA |
| Practice Address |
16 Blackberry Rd Danbury CT 06811-3815 |
| Practice Telephone | 2033123974 |
| Mailing Telephone | 2033123974 |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2014-05-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 1139409 | NY | Other Service Providers |
| Y | 103K00000X | Behavioral Analyst | 1-14-15457 | Behavioral Health & Social Service Providers |
| Street Address |
16 BLACKBERRY RD |
| City | DANBURY |
| State | CT |
| Zip Code | 06811-3815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285285361 | Domonique Danza | Massage Therapist | 34 Mill Plain Rd, Danbury, CT 06811 | 2019-09-20 |
| 1538683552 | Walgreen Co | Pharmacy | 113/115 Mill Plain Rd, Danbury, CT 06811 | 2017-08-01 |
| 1366980484 | Heather H Thebodo | Pharmacist | 47-49 Lake Avenue Extention, Danbury, CT 06811 | 2017-02-09 |
| 1851848824 | Ellen Lyall | Dental Hygienist | 6 Field Road, Danbury, CT 06811 | 2016-09-07 |
| 1558753574 | Ctuc01 | Clinic/Center | 100 Mill Plain Road, Danbury, CT 06811 | 2015-02-27 |
| 1063757730 | Rabiya Ansari-johnston | Occupational Therapist | 1 Glen Hill Road, Danbury, CT 06811 | 2012-12-06 |
| 1407167851 | Appalachian Chiropractic and Wellness LLC | Chiropractor | 103 Mill Plain Road, Suite 1, Danbury, CT 06811 | 2010-06-30 |
| 1730395294 | David P Rentler | Psychologist | 33 and One Half Pembroke Rd, Danbury, CT 06811 | 2007-05-14 |
| 1770704074 | Loretta Marie Osik | Naturopath | One Maplewood Dr, Danbury, CT 06811 | 2007-05-02 |
| 1932227733 | Lorena Jean Tesbir | Counselor | 2 Glen Hill Road, Danbury, CT 06811 | 2007-03-27 |
| Find all providers in zip 06811 | ||||
| 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 |
|---|---|---|---|---|
| 1588203822 | Naturalistic Learning Center LLC | Behavioral Analyst | 215 Brushy Hill Rd, Danbury, CT 06810-8430 | 2020-01-03 |
| 1942866058 | Jessica M Nourse-stuart | Behavioral Analyst | 13 Mabel Ave, Danbury, CT 06811-3740 | 2019-05-14 |
| 1831675974 | Courtney Gesualdi | Behavioral Analyst | 100 Mill Plain Rd Ste 1c, Danbury, CT 06811-5178 | 2018-07-12 |
| 1841741097 | Kathleen Watkins | Behavioral Analyst | 5 Grenier Dr, Danbury, CT 06810-8209 | 2016-10-21 |
| 1871040402 | Heloisa Momesso | Behavioral Analyst | 6 Golden Hill Rd, Unit 2, Danbury, CT 06811-4655 | 2016-09-01 |
| 1598109340 | Jessie Wuiyi Wong | Behavioral Analyst | 7 Old Sherman Tpke Ste 200, Danbury, CT 06810 | 2013-04-23 |
| 1194019489 | Ajit C Doolabh | Behavioral Analyst | 45 Brittania Dr, Danbury, CT 06811-2613 | 2011-06-03 |
| 1275134231 | Samantha Brundage | Behavioral Analyst | 100 Reserve Rd Ste F300, Danbury, CT 06810-5269 | 2020-11-05 |
| 1932712734 | Brandi Brielle Cedeno | Behavioral Analyst | 100 Mill Plain Rd Ste 1c, Danbury, CT 06811-5178 | 2020-08-31 |
| 1962034520 | Abigail Tarleton Kirchem-butts | Behavioral Analyst | 100 Reserve Rd Ste F300, Danbury, CT 06810-5269 | 2020-02-11 |
| Find all providers in DANBURY | ||||
Please comment or provide details below to improve the information on JEANNINE SAM.
| 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.