SAMANTHA JORDAN (NPI# 1114413747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114413747 |
| Entity Type | Individual |
| Full Name | SAMANTHA JORDAN |
| Credential | BCBA |
| Practice Address |
16410 Bloomfield Ave Ste B Cerritos CA 90703-2144 |
| Mailing Address |
16782 Von Karman Ave Ste 11 Irvine CA 92606-2417 |
| Practice Telephone | 8552237123 |
| Mailing Telephone | 8552237123 |
| Mailing Fax Number | 6193747134 |
| Enumeration Date | 2018-07-06 |
| Last Update Date | 2018-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-18-31374 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 18726 S Western Ave, Gardena, CA 902483813 | 3108560800 | 8555682494 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376174193 | Samantha Nichols Jordan | Speech-Language Pathologist | 1370 Center Dr Ste 205, Dunwoody, GA 30338-4132 | 2020-01-30 |
| 1205480415 | Samantha M Jordan | Physical Therapy Assistant | 777 Laura Dr, Marion, OH 43302-5515 | 2019-07-25 |
| 1407311533 | Samantha Jordan | Chiropractor | 13850 Booker T Washington Hwy, Moneta, VA 24121-6205 | 2019-02-02 |
| 1851760169 | Samantha Eve Jordan | Student in an Organized Health Care Education/Training Program | 30 Washington Street Suite 300, Wellesley, MA 02481 | 2015-09-16 |
| 1235648577 | Samantha M Jordan | Counselor | 11100 State Route 550 Ste H, Athens, OH 45701-8839 | 2017-09-28 |
| 1356725923 | Samantha Jordan | Physical Therapist | 1400 Eastside Rd, Platteville, WI 53818-9800 | 2015-07-14 |
| 1366786527 | Samantha R Jordan | Psychologist | 2520 Windy Hill Rd Se, Suite 203, Marietta, GA 30067-8664 | 2012-11-12 |
| 1083909535 | Samantha Len Jordan | Dentist | 161 Jackson St, Lowell, MA 01852-2103 | 2011-06-13 |
| 1982702239 | Samantha M Jordan | Dermatology | 8580 Scarborough Dr, Suite 225, Colorado Springs, CO 80920-7583 | 2006-09-20 |
| Street Address |
16410 BLOOMFIELD AVE STE B |
| City | CERRITOS |
| State | CA |
| Zip Code | 90703-2144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144661885 | Marylou Bunn | Rehabilitation Practitioner | 16410 Bloomfield Ave Ste B, Cerritos, CA 90703-2144 | 2013-07-10 |
| 1881295731 | Perpetual Emeana | Behavior Technician | 16410 Bloomfield Ave Ste B, Cerritos, CA 90703-2144 | 2020-11-06 |
| 1508467366 | Karla Galan Perez | Behavior Technician | 16410 Bloomfield Ave Ste B, Cerritos, CA 90703-2144 | 2020-11-06 |
| 1073114302 | Guadalupe Jasso | Behavior Technician | 16410 Bloomfield Ave Ste B, Cerritos, CA 90703-2144 | 2020-11-03 |
| 1780283622 | Areysee Borja | Behavior Technician | 16410 Bloomfield Ave Ste B, Cerritos, CA 90703-2144 | 2020-10-21 |
| 1073112900 | Krishna Bhakta | Behavior Technician | 16410 Bloomfield Ave Ste B, Cerritos, CA 90703-2144 | 2020-10-21 |
| 1912506015 | Nallely Morales Vega | Behavior Technician | 16410 Bloomfield Ave Ste B, Cerritos, CA 90703-2144 | 2020-10-20 |
| 1568061604 | Brianna Delgado | Behavior Technician | 16410 Bloomfield Ave Ste B, Cerritos, CA 90703-2144 | 2020-10-20 |
| 1801495916 | Vivianna Flores | Behavior Technician | 16410 Bloomfield Ave Ste B, Cerritos, CA 90703-2144 | 2020-10-20 |
| 1093314106 | Kathryn Barker | Behavior Technician | 16410 Bloomfield Ave Ste B, Cerritos, CA 90703-2144 | 2020-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909582 | Michael Wong Dental Corporation | Dentist | 11549 South Street, Cerritos, CA 90703 | 2020-10-15 |
| 1144837139 | Essential California Ipa Inc. | Health Maintenance Organization | 1800 Studebaker Rd., 100, Cerritos, CA 90703 | 2020-09-24 |
| 1447868377 | Auxilium Health Network, Inc. | Health Maintenance Organization | 18000 Studebaker Dr, Cerritos, CA 90703 | 2020-07-16 |
| 1154939098 | Absolute Medical Partners, A Professional Medical Corporation | Health Maintenance Organization | 18000 Studebaker Rd., Ste 100, Cerritos, CA 90703 | 2020-07-16 |
| 1558906487 | Vitruvian Care, Inc. | Health Maintenance Organization | 18000 Studebaker Road Suite 100, Cerritos, CA 90703 | 2019-11-14 |
| 1841843554 | Ha Tran Tsai Dental Corporation | Dentist | 16466 Norwalk Boulevard, Cerritos, CA 90703 | 2019-07-22 |
| 1457828097 | Angela Ofoegbu | Registered Nurse | 10733 Elgers St, Cerritos, CA 90703 | 2018-11-01 |
| 1689183352 | Zeela G Diwa | Occupational Therapist | 12736 Palm Street, Cerritos, CA 90703 | 2017-09-26 |
| 1114446119 | Cooper Lee | Physical Therapist | 18503 Noran Ave, Cerritos, CA 90703 | 2017-09-12 |
| 1295259141 | Miyeon Vivienne Lee | Nurse Practitioner | 13337 South Street #158, Cerritos, CA 90703 | 2017-08-02 |
| Find all providers in zip 90703 | ||||
| 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 |
|---|---|---|---|---|
| 1609271766 | Natalie Wratschko | Behavioral Analyst | 1307 Artesia Blvd, #d134, Cerritos, CA 90703 | 2014-10-30 |
| 1417352774 | Megan Story | Behavioral Analyst | 1307 Artesia Blvd #d 134, Cerritos, CA 90703 | 2014-10-29 |
| 1275877987 | Melissa Reserva | Behavioral Analyst | 13017 Artesia Blvd Ste D134, Cerritos, CA 90703-1385 | 2012-11-19 |
| 1497081491 | Kelly J Prieto | Behavioral Analyst | 19117 Alphington Ave, Cerritos, CA 90703-7215 | 2009-10-26 |
| 1891305025 | Ohana Behavioral Group | Behavioral Analyst | 17777 Center Court Dr N Ste 600, Cerritos, CA 90703-8575 | 2020-08-03 |
| 1619523875 | Gema Castillo | Behavioral Analyst | 16410 Bloomfield Ave Ste B, Cerritos, CA 90703-2144 | 2019-08-14 |
| 1376006189 | Astrid Yesebel La Cruz Montilla | Behavioral Analyst | 16410 Bloomfield Ave Ste B, Cerritos, CA 90703 | 2019-04-09 |
| 1184180556 | Alex Sanchez | Behavioral Analyst | 16410 Bloomfield Ave Ste B, Cerritos, CA 90703-2144 | 2019-02-11 |
| 1568936797 | Tara Drew | Behavioral Analyst | 16410 Bloomfield Ave Ste B, Cerritos, CA 90703-2144 | 2019-01-22 |
| 1770052565 | Beatriz Solis-prieto | Behavioral Analyst | 16410 Bloomfield Ave Ste B, Cerritos, CA 90703 | 2018-11-21 |
| Find all providers in CERRITOS | ||||
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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.