SAMANTHA LEE NELSON (NPI# 1487260543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487260543 |
| Entity Type | Individual |
| Full Name | SAMANTHA LEE NELSON |
| Credential | RBT |
| Practice Address |
4655 Rosebud Ln Newburgh IN 47630-9366 |
| Mailing Address |
3500 Depauw Blvd Ste 3070 Indianapolis IN 46268-6135 |
| Practice Telephone | 8122138031 |
| Practice Fax Number | 3175208200 |
| Mailing Telephone | 8553240885 |
| Mailing Fax Number | 3175208200 |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2020-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-20-133820 | IN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083222673 | Samantha Nelson | Technician | 13 Witek Dr, Montrose, WV 26283-7504 | 2020-07-20 |
| 1518424936 | Samantha Ann Nelson | Counselor | 6598 Brush St, North Branch, MI 48461-8842 | 2019-02-21 |
| 1316494826 | Samantha Nelson | Physician Assistant | 1500 Campo Sano Ave, Suite 200, Coral Gables, FL 33146-2008 | 2016-09-01 |
| 1235531336 | Samantha Nelson | Technician, Other | 10948 Raley Creek Dr S, Jacksonville, FL 32225-2324 | 2014-09-19 |
| 1265703946 | Samantha L Nelson | Licensed Practical Nurse | 119 3rd Ave, Wayland, NY 14572-1230 | 2012-01-26 |
| 1497368443 | Samantha Marie Nelson | Student in an Organized Health Care Education/Training Program | 1401 Presque Isle Ave, Marquette, MI 49855-2818 | 2020-08-28 |
| 1063044345 | Samantha Nelson | Physical Therapist | 5401 South St, Lincoln, NE 68506-2150 | 2020-02-05 |
| 1548756273 | Samantha Kristine Nelson | Peer Specialist | 1820 University Ave, Riverside, CA 92507-5355 | 2018-07-05 |
| 1194177832 | Samantha Nelson | Counselor | 2842 S Business Dr, Sheboygan, WI 53081-6518 | 2016-07-06 |
| 1013393438 | Samantha Nelson | Clinic/Center | 103 1/2 W Main St, Wilburton, OK 74578-4043 | 2015-08-07 |
| Street Address |
4655 ROSEBUD LN |
| City | NEWBURGH |
| State | IN |
| Zip Code | 47630-9366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528515772 | Catherine Elizabeth Huggins | Behavioral Analyst | 4655 Rosebud Ln, Newburgh, IN 47630-9366 | 2016-09-06 |
| 1215535869 | Kimberly Ann Eaden | Behavior Technician | 4655 Rosebud Ln, Newburgh, IN 47630-9366 | 2020-10-15 |
| 1730787284 | Dominique Paige Litkenhus | Behavior Technician | 4655 Rosebud Ln, Newburgh, IN 47630-9366 | 2020-10-15 |
| 1558969006 | Bryan Michael Wood | Behavior Technician | 4655 Rosebud Ln, Newburgh, IN 47630-9366 | 2020-10-15 |
| 1003413196 | James Tyler Haskett | Behavior Technician | 4655 Rosebud Ln, Newburgh, IN 47630-9366 | 2020-10-02 |
| 1669079802 | Taylor Alexius Dieball | Behavior Technician | 4655 Rosebud Ln, Newburgh, IN 47630-9366 | 2020-10-01 |
| 1871100271 | Ashlee Faith O'bryan | Behavior Technician | 4655 Rosebud Ln, Newburgh, IN 47630-9366 | 2020-09-29 |
| 1912514464 | Rachel Anne Perry | Behavior Technician | 4655 Rosebud Ln, Newburgh, IN 47630-9366 | 2020-09-29 |
| 1558978007 | Jennifer Alicia Beeman | Behavior Technician | 4655 Rosebud Ln, Newburgh, IN 47630-9366 | 2020-09-29 |
| 1629685250 | Linsey Marie Parker | Behavior Technician | 4655 Rosebud Ln, Newburgh, IN 47630-9366 | 2020-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477199859 | Dana Marie Deken | Physical Therapy Assistant | 322 Bell Oaks, Newburgh, IN 47630 | 2019-11-21 |
| 1851948897 | Riley Elizabeth Eilken | Physical Therapist | 4233 Gateway Glbd, Suite 201, Newburgh, IN 47630 | 2019-08-23 |
| 1851851174 | Jennifer Ozete Cole | Physical Therapist | 4233 Gateway Boulvard Suite 201, Newburgh, IN 47630 | 2019-03-22 |
| 1174014542 | Katherine E Lyle | Music Therapist | 1003 Sr 662 W, Newburgh, IN 47630 | 2018-05-22 |
| 1144719923 | Jennifer Michelle Huffman | Occupational Therapy Assistant | 9800 Lincolne Avenue, Newburgh, IN 47630 | 2018-05-07 |
| 1215431846 | Deaconess Specialty Physicians, Inc | Internal Medicine | 4007 Gateway Blvd Ste 100, Newburgh, IN 47630 | 2018-03-20 |
| 1801313002 | Deaconess Hospital, Inc | Pharmacy | 4209 Gateway Blvd., Newburgh, IN 47630 | 2017-08-28 |
| 1629435599 | Caitlyn Beckinger | Physical Therapy Assistant | 9800 Lincoln Ave, Newburgh, IN 47630 | 2016-01-24 |
| 1568869410 | Jill Buck | Social Worker | 8788 Ruffian Ln Ste D, Newburgh, IN 47630 | 2014-11-20 |
| 1003191057 | Marshall Alan Cox | Pharmacist | 7769 Hwy 66, Newburgh, IN 47630 | 2011-10-20 |
| Find all providers in zip 47630 | ||||
| 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 |
|---|---|---|---|---|
| 1215535869 | Kimberly Ann Eaden | Behavior Technician | 4655 Rosebud Ln, Newburgh, IN 47630-9366 | 2020-10-15 |
| 1730787284 | Dominique Paige Litkenhus | Behavior Technician | 4655 Rosebud Ln, Newburgh, IN 47630-9366 | 2020-10-15 |
| 1558969006 | Bryan Michael Wood | Behavior Technician | 4655 Rosebud Ln, Newburgh, IN 47630-9366 | 2020-10-15 |
| 1003413196 | James Tyler Haskett | Behavior Technician | 4655 Rosebud Ln, Newburgh, IN 47630-9366 | 2020-10-02 |
| 1669079802 | Taylor Alexius Dieball | Behavior Technician | 4655 Rosebud Ln, Newburgh, IN 47630-9366 | 2020-10-01 |
| 1871100271 | Ashlee Faith O'bryan | Behavior Technician | 4655 Rosebud Ln, Newburgh, IN 47630-9366 | 2020-09-29 |
| 1912514464 | Rachel Anne Perry | Behavior Technician | 4655 Rosebud Ln, Newburgh, IN 47630-9366 | 2020-09-29 |
| 1558978007 | Jennifer Alicia Beeman | Behavior Technician | 4655 Rosebud Ln, Newburgh, IN 47630-9366 | 2020-09-29 |
| 1629685250 | Linsey Marie Parker | Behavior Technician | 4655 Rosebud Ln, Newburgh, IN 47630-9366 | 2020-09-28 |
| 1952917007 | Brooke Nicole Jones | Behavior Technician | 4655 Rosebud Ln, Newburgh, IN 47630-9366 | 2020-09-23 |
| Find all providers in NEWBURGH | ||||
Please comment or provide details below to improve the information on SAMANTHA LEE NELSON.
| 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.