SAMANTHA DAWN BLAKE (NPI# 1275091852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275091852 |
| Entity Type | Individual |
| Full Name | SAMANTHA DAWN BLAKE |
| Practice Address |
1 Halloran Park Ln Saint Clairsville OH 43950-1367 |
| Practice Telephone | 7402965734 |
| Mailing Telephone | 7402965734 |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2019-03-04 |
| 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 |
|---|---|---|---|---|
| 1841830155 | Samantha R Blake | Behavioral Analyst | 44235 Galicia Dr, Hemet, CA 92544-9125 | 2020-01-14 |
| 1508464041 | Samantha Blake | Technician | 652 Main St, Barboursville, WV 25504-1439 | 2020-10-16 |
| 1356953988 | Samantha Diane Blake | Speech-Language Pathologist | 100 N Main St, Suffolk, VA 23434-4529 | 2020-08-17 |
| 1255974499 | Samantha Paige Blake | Pharmacist | 146 Woodman Dr, Dayton, OH 45431-1423 | 2019-10-21 |
| Street Address |
1 HALLORAN PARK LN |
| City | SAINT CLAIRSVILLE |
| State | OH |
| Zip Code | 43950-1367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154670636 | Andrea Leigh Strope | Behavioral Analyst | 1 Halloran Park Ln, Saint Clairsville, OH 43950-1367 | 2012-08-30 |
| 1588270870 | Kylie Elizabeth Huber | Behavior Technician | 1 Halloran Park Ln, Saint Clairsville, OH 43950-1367 | 2020-09-22 |
| 1578177937 | Kristin M Croxton | Behavior Technician | 1 Halloran Park Ln, Saint Clairsville, OH 43950-1367 | 2020-09-03 |
| 1598397366 | Sarah Ann Garner | Behavior Technician | 1 Halloran Park Ln, Saint Clairsville, OH 43950-1367 | 2020-02-10 |
| 1760014534 | Deidra Keller | Behavior Technician | 1 Halloran Park Ln, Saint Clairsville, OH 43950-1367 | 2020-02-10 |
| 1497387278 | Kelsi Lynne Peck | Behavior Technician | 1 Halloran Park Ln, Saint Clairsville, OH 43950-1367 | 2020-02-10 |
| 1477185254 | Kamrin Yager | Behavior Technician | 1 Halloran Park Ln, Saint Clairsville, OH 43950-1367 | 2020-02-10 |
| 1316586621 | Kelsey Loy | Behavior Technician | 1 Halloran Park Ln, Saint Clairsville, OH 43950-1367 | 2020-01-03 |
| 1811536352 | Alicia Marie Leonard | Behavior Technician | 1 Halloran Park Ln, Saint Clairsville, OH 43950-1367 | 2020-01-02 |
| 1437792595 | Megan K Teater | Behavior Technician | 1 Halloran Park Ln, Saint Clairsville, OH 43950-1367 | 2019-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083212450 | Sharon Jackson | In Home Supportive Care | 52410 Summit Avenue, St. Clairsville, OH 43950 | 2020-10-16 |
| 1326657891 | Taylor Gorby | Behavior Technician | 1 Halloran Dr, St. Clairsville, OH 43950 | 2020-07-30 |
| 1023627247 | Madison Emery | Behavior Technician | 1 Holloran Drive, St Clairsville, OH 43950 | 2020-07-23 |
| 1821633439 | Jerri Mccombs | Clinical Nurse Specialist | 71200and1/2 Kagg Hill Rd, St Clairsville, OH 43950 | 2019-11-07 |
| 1053978817 | Mariah Lynn Hamilton | Behavior Technician | 1 Halloran Lane, St. Clairsville, OH 43950 | 2019-05-28 |
| 1083184717 | Maria Suzanne Shane | Behavior Technician | 1 Halloran Ln, Saint Clairsville, OH 43950 | 2018-11-26 |
| 1023592201 | Natisha Janelle Greathouse | Behavior Technician | 1 Halloran Park Lane, St Clairsville, OH 43950 | 2018-09-24 |
| 1285111039 | Bethany A Dawson | Dietitian, Registered | 66670 Anna Dr, Saint Clairsville, OH 43950 | 2018-07-24 |
| 1073004776 | Marsha M Woods | Social Worker | 67925 Bayberry Drive, Suite A, St. Clairsville, OH 43950 | 2018-05-29 |
| 1104314657 | Jorja L Johnson | Case Manager/Care Coordinator | 67925 Bayberry Dr Ste 700, Saint Clairsville, OH 43950 | 2018-04-30 |
| Find all providers in zip 43950 | ||||
| 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 |
|---|---|---|---|---|
| 1083184717 | Maria Suzanne Shane | Behavior Technician | 1 Halloran Ln, Saint Clairsville, OH 43950 | 2018-11-26 |
| 1508466400 | Lauren Jean Matheny | Behavior Technician | 1 Halloran Drive, Saint Clairsville, OH 43950 | 2020-10-29 |
| 1588270870 | Kylie Elizabeth Huber | Behavior Technician | 1 Halloran Park Ln, Saint Clairsville, OH 43950-1367 | 2020-09-22 |
| 1780290171 | Katie Amadu | Behavior Technician | 1 Halloran Drive, Saint Clairsville, OH 43950 | 2020-09-21 |
| 1578177937 | Kristin M Croxton | Behavior Technician | 1 Halloran Park Ln, Saint Clairsville, OH 43950-1367 | 2020-09-03 |
| 1598397366 | Sarah Ann Garner | Behavior Technician | 1 Halloran Park Ln, Saint Clairsville, OH 43950-1367 | 2020-02-10 |
| 1760014534 | Deidra Keller | Behavior Technician | 1 Halloran Park Ln, Saint Clairsville, OH 43950-1367 | 2020-02-10 |
| 1497387278 | Kelsi Lynne Peck | Behavior Technician | 1 Halloran Park Ln, Saint Clairsville, OH 43950-1367 | 2020-02-10 |
| 1477185254 | Kamrin Yager | Behavior Technician | 1 Halloran Park Ln, Saint Clairsville, OH 43950-1367 | 2020-02-10 |
| 1568093631 | Ashley Prevot | Behavior Technician | 1 Halloran Drive, Saint Clairsville, OH 43950 | 2020-01-28 |
| Find all providers in SAINT CLAIRSVILLE | ||||
| City | SAINT CLAIRSVILLE |
| Zip Code | 43950 |
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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.