SAMUEL KOMBO (NPI# 1790284685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790284685 |
| Entity Type | Individual |
| Full Name | SAMUEL KOMBO |
| Practice Address |
109 Oak Street Newton MA 01862 |
| Mailing Address |
50 Rogers Street North Billerica MA 01862 |
| Practice Telephone | 6176585603 |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2018-02-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
109 OAK STREET |
| City | NEWTON |
| State | MA |
| Zip Code | 01862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639479843 | Maria Maclean | Behavioral Analyst | 109 Oak Street, G-10, Newton, MA 02464-1493 | 2010-10-22 |
| 1669933024 | Jean O'leary | Behavior Technician | 109 Oak Street, Newton, MA 02464 | 2019-03-28 |
| 1164921052 | Amanda Larios | Behavior Technician | 109 Oak Street, Newton, MA 02464 | 2018-02-06 |
| 1538529110 | Jennifer Kristine Leano | Behavioral Analyst | 109 Oak Street, Newton, MA 02464-1492 | 2016-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760080477 | Palms Pride Inc | Non-emergency Medical Transport (VAN) | 38 Pequot Street, N. Billerica, MA 01862 | 2020-10-14 |
| 1245886258 | Corrections - Comprehensive Treatment Centers, LLC | Clinic/Center | 269 Treble Cove Rd., Billerica, MA 01862 | 2019-08-15 |
| 1093214710 | Berenice Tchandjib Kobu | Nurse Practitioner | 382 Treble Cove Rd, North Billerica, MA 01862 | 2018-02-08 |
| 1780934349 | Healthstat Arkansas/pace Ind.- Cambridge | Preventive Medicine | 67 Faulkner St., North Billerica, MA 01862 | 2012-09-11 |
| 1538463765 | Richard D Pierce Dmd PC | Dentist | 76 Treble Cove Rd, North Billerica, MA 01862 | 2011-01-03 |
| 1326349150 | New Concepts Dental Group | Dentist | 330 Boston Road, Unit #16, No. Billerica, MA 01862 | 2010-11-10 |
| 1841516655 | Dr. Paul Feverstein | Dentist | 76 Treble Cove Rd., North Billerica, MA 01862 | 2010-04-19 |
| 1346421997 | Mark Gary Hibberd | Internal Medicine | Bristol Meyers Squibb Med. Imaging, 331 Treble Cove Road, N. Billerica, MA 01862 | 2007-11-23 |
| 1548455421 | Kathleen Ann Sacco | Social Worker | 19 Colson Street, North Billerica, MA 01862 | 2007-09-13 |
| 1225139744 | James Hovannes Fantazian | Optometrist | 247 Boston Rd, N Billerica, MA 01862 | 2006-09-26 |
| Find all providers in zip 01862 | ||||
| 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 |
|---|---|---|---|---|
| 1023675931 | Mandy Smith | Behavioral Analyst | 97 Langdon St Fl 1, Newton, MA 02458-1982 | 2019-05-27 |
| 1538673165 | Christine Almeida | Behavioral Analyst | 26 Adams St, Newton, MA 02460-1203 | 2017-11-17 |
| 1306360524 | Johnathan Winston Perez | Behavioral Analyst | 109 Oak St Ste 103, Newton, MA 02464-1493 | 2017-07-30 |
| 1184145716 | Shayna Fantini | Behavioral Analyst | 85 Chapel St, Newton, MA 02458-1065 | 2017-07-05 |
| 1851780936 | Katrina Maclean X | Behavioral Analyst | 109 Oak Street Suite G10, Newton, MA 02464 | 2015-01-13 |
| 1649686965 | Special Needs Nj, LLP | Behavioral Analyst | 820 Limecrest Rd, Newton, NJ 07860-8808 | 2014-07-08 |
| 1558794073 | Kristen Marie Bourne | Behavioral Analyst | 109 Oak Street Suite 103, Newton, MA 02464-1984 | 2013-08-20 |
| 1932480274 | Mary Teresa Bania | Behavioral Analyst | 41 Terrace Ave, Newton, MA 02461-1426 | 2011-08-31 |
| 1407159528 | Stefanie Salome | Behavioral Analyst | 109 Oak St Ste G10, Newton, MA 02464-1492 | 2010-12-10 |
| 1598066516 | Ilan, Inc | Behavioral Analyst | 109 Oak St Ste G, Newton, MA 02464-1448 | 2010-11-08 |
| Find all providers in NEWTON | ||||
Please comment or provide details below to improve the information on SAMUEL KOMBO.
| 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.