SAMANTHA MACK (NPI# 1801397104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801397104 |
| Entity Type | Individual |
| Full Name | SAMANTHA MACK |
| Practice Address |
15721 N Greenway Hayden Loop Ste 103 Scottsdale AZ 85260-1776 |
| Mailing Address |
21600 Oxnard St Ste 1800 Woodland Hills CA 91367-7807 |
| Practice Telephone | 6023624200 |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2018-02-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124632674 | Samantha M Mack | Occupational Therapist | 24 Hillcrest Cir, Portland, ME 04103-1443 | 2020-09-02 |
| 1972956274 | Samantha Mack | Counselor | 517 West Northern Lights, Anchorage, AK 99503 | 2016-07-21 |
| 1528185089 | Samantha Elizabeth Mack | Pathology | 6116 E Warren Ave, Denver, CO 80222-5703 | 2007-03-22 |
| Street Address |
15721 N GREENWAY HAYDEN LOOP STE 103 |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85260-1776 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912367608 | Rosanne Licari | Developmental Therapist | 15721 N Greenway Hayden Loop Ste 103, Scottsdale, AZ 85260-1776 | 2016-02-24 |
| 1699375790 | Danielle Rose May | Behavior Technician | 15721 N Greenway Hayden Loop Ste 103, Scottsdale, AZ 85260-1776 | 2020-10-28 |
| 1831798784 | Heather Lynn Evans | Behavioral Analyst | 15721 N Greenway Hayden Loop Ste 103, Scottsdale, AZ 85260-1776 | 2020-10-21 |
| 1922622000 | Brenna Christine Tobey | Behavior Technician | 15721 N Greenway Hayden Loop Ste 103, Scottsdale, AZ 85260-1776 | 2020-06-03 |
| 1255967519 | Leigh Ann M. Jackson | Behavior Technician | 15721 N Greenway Hayden Loop Ste 103, Scottsdale, AZ 85260-1776 | 2020-03-19 |
| 1407487739 | Brianna Bell | Behavioral Analyst | 15721 N Greenway Hayden Loop Ste 103, Scottsdale, AZ 85260-1776 | 2020-01-27 |
| 1396382057 | Andrew Ryan Dalrymple | Behavior Technician | 15721 N Greenway Hayden Loop Ste 103, Scottsdale, AZ 85260-1776 | 2019-12-02 |
| 1447894142 | Jennifer Peters | Behavior Technician | 15721 N Greenway Hayden Loop Ste 103, Scottsdale, AZ 85260-1776 | 2019-11-05 |
| 1245881077 | Olivia Rose Dodd | Behavior Technician | 15721 N Greenway Hayden Loop Ste 103, Scottsdale, AZ 85260-1776 | 2019-09-23 |
| 1063062016 | Catherine Rae Sander | Behavior Technician | 15721 N Greenway Hayden Loop Ste 103, Scottsdale, AZ 85260-1776 | 2019-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153377 | Karen Lee Williams | Counselor | 7655 Eest Redfield Rd, Suite 4, Scottsdale, AZ 85260 | 2020-10-29 |
| 1477188001 | Dr. Lynne Remson, Stuttering Specialist, LLC | Clinic/Center | 7950 E. Acoma Dr., Ste 201, Scottsdale, AZ 85260 | 2020-03-04 |
| 1861049967 | Aca Wellness Institute | Registered Nurse | 10752 N. 89th Pl, 8, Ste 203, Scottsdale, AZ 85260 | 2019-08-22 |
| 1811542814 | Haven Home Physicians LLC | Internal Medicine | 15551 N Greenway-hayden Loop, Suite 155, Scottsdale, AZ 85260 | 2019-08-06 |
| 1700431079 | Corey Allen Niles | Physical Therapist | 16413 N 91st Street #c145, Scottsdale, AZ 85260 | 2019-08-05 |
| 1578126470 | Scottsdale Pediatric Dental Associates Inc | Dentist | 9280 E Raintree, Suite 108, Scottsdale, AZ 85260 | 2019-04-16 |
| 1548747645 | Oliver Canizales Renteria | Behavior Technician | 8310 East Cactus Road, Suite # 510, Scottsdale, AZ 85260 | 2018-07-23 |
| 1518454792 | Silent Night Sleep Center Lllp | Durable Medical Equipment & Medical Supplies | 9070 E Desert Cove Ave Ste 105, Scottsdale, AZ 85260 | 2018-04-13 |
| 1669976726 | Steincare Mobile Outpatient, LLC | Occupational Therapist | 9555 E. Raintree Drive, #2057, Scottsdale, AZ 85260 | 2018-03-22 |
| 1437658416 | Megan Anne Deffenbaugh | Behavior Technician | 8130 E Cactus Rd Suite 150, Scottsdale, AZ 85260 | 2018-02-06 |
| Find all providers in zip 85260 | ||||
| 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 |
|---|---|---|---|---|
| 1164992236 | James Clarence Nellis | Behavior Technician | 5010 East Shea Blvd. Suite D202 Act Counseling & Educat, Scottsdale, AZ 85254-4570 | 2018-11-30 |
| 1548747645 | Oliver Canizales Renteria | Behavior Technician | 8310 East Cactus Road, Suite # 510, Scottsdale, AZ 85260 | 2018-07-23 |
| 1780179184 | Ricoh Danielson | Behavior Technician | 18525 N Scottsdale Rd Unit 3022, Scottsdale, AZ 85255-9685 | 2018-06-27 |
| 1750872651 | Nenita Schweichler | Behavior Technician | 7746 E Latham St, Scottsdale, AZ 85257-3734 | 2018-05-25 |
| 1437658416 | Megan Anne Deffenbaugh | Behavior Technician | 8130 E Cactus Rd Suite 150, Scottsdale, AZ 85260 | 2018-02-06 |
| 1912432840 | Emma Trobia | Behavior Technician | 4389 N Parkway Ave, 641, Scottsdale, AZ 85251-4032 | 2017-04-28 |
| 1699375790 | Danielle Rose May | Behavior Technician | 15721 N Greenway Hayden Loop Ste 103, Scottsdale, AZ 85260-1776 | 2020-10-28 |
| 1265030860 | Cassandra Stark | Behavior Technician | 8130 E Cactus Rd, Suite 510, Scottsdale, AZ 85260-5263 | 2020-10-15 |
| 1437757036 | Tyuana Turner | Behavior Technician | 8130 E Cactus Rd, Suite 510, Scottsdale, AZ 85260-5263 | 2020-10-15 |
| 1528666138 | Chloe Donohue | Behavior Technician | 8130 E Cactus Rd, Suite 510, Scottsdale, AZ 85260-5263 | 2020-10-15 |
| Find all providers in SCOTTSDALE | ||||
| City | SCOTTSDALE |
| Zip Code | 85260 |
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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.