SAMANTHA JUNE SAXMAN


Address: 6635 E 21st St, Indianapolis, IN 46219-2254
Phone: 3176082824

SAMANTHA JUNE SAXMAN (NPI# 1619515947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619515947
Entity Type Individual
Full Name SAMANTHA JUNE SAXMAN
Credential MA, BCBA
Practice Address 6635 E 21st St
Indianapolis
IN 46219-2254
Mailing Address 3500 Depauw Blvd Ste 3070
Indianapolis
IN 46268-6135
Practice Telephone 3176082824
Practice Fax Number 3175208200
Mailing Telephone 8553240885
Enumeration Date 2019-12-17
Last Update Date 2020-10-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst 1-20-45281 Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
BCBA CERTIFICATE 1-20-45281 01

Office Location

Street Address 6635 E 21ST ST
City INDIANAPOLIS
State IN
Zip Code 46219-2254

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417062266 Rcg Indiana, LLC Clinic/Center 6635 E 21st St, Suite 400, Indianapolis, IN 46219-2254 2006-08-20
1902403835 Nicole Margaret Gray Behavior Technician 6635 E 21st St, Indianapolis, IN 46219-2254 2020-10-05
1376140186 Sarah Lynn Clark-carson Behavior Technician 6635 E 21st St, Indianapolis, IN 46219-2254 2020-10-05
1548867617 Margaret Ann May Parrilla Behavior Technician 6635 E 21st St, Indianapolis, IN 46219-2254 2020-10-02
1437756509 Alithea Jessica Ginn Behavior Technician 6635 E 21st St, Indianapolis, IN 46219-2254 2020-10-02
1336746353 Corrina Marie Gorman Behavior Technician 6635 E 21st St, Indianapolis, IN 46219-2254 2020-10-02
1275130361 Georgia Kelly Gross Behavior Technician 6635 E 21st St, Indianapolis, IN 46219-2254 2020-10-02
1285231365 Megan Faith Butler Behavior Technician 6635 E 21st St, Indianapolis, IN 46219-2254 2020-10-02
1073110136 Achaia Zsavon Bolton Behavior Technician 6635 E 21st St, Indianapolis, IN 46219-2254 2020-10-02
1356958516 Luis Fernando Hernandez Behavior Technician 6635 E 21st St, Indianapolis, IN 46219-2254 2020-09-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518571157 Kara Kathryn Berning Dietitian, Registered 2040 N. Shadeland Ave, Suite 130, Indianapolis, IN 46219 2020-09-01
1780223750 Erin Cannon Specialist 1543 N Post Rd, Indianapolis, IN 46219 2019-12-23
1073151239 Tanicka Elizabeth Word Behavior Technician 6635 E 21st Street, West Building, Indianapolis, IN 46219 2019-12-18
1790322527 Arlington Westend Dental LLC Dentist 5900 E 10th St, Indianapolis, IN 46219 2019-11-27
1336645985 Lynell Westbrook Gates Counselor 1311 N Arlington Ave Ste 102, Indianapolis, IN 46219 2018-04-03
1861991689 Comfort Dental LLC Clinic/Center 8151 E 21st St., Indianapolis, Indianapolis, IN 46219 2018-02-07
1467811570 Fresenius Medical Care Indiana, LLC Clinic/Center 6701 E 21st St, Indianapolis, IN 46219 2016-02-17
1992197289 Casey Baker Physician Assistant 1500 N Ritter Ave (medical Associates, LLP), Indianapolis, IN 46219 2015-02-24
1811398407 Adam Romesser Pharmacist 8907 E. 10th St., Indianapolis, IN 46219 2014-09-15
1225448673 Justin Stauffer Pharmacist 5903 E Pleasant Run Parkway North Dr, Indianapolis, IN 46219 2014-05-06
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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184223075 Hope Transitional Services LLC Behavioral Analyst 10737 Jimmy Lake Dr, Indianapolis, IN 46239 2020-10-21
1497371694 Mobile Therapy Centers of Indiana, LLC Behavioral Analyst 4170 Washington Blvd, Indianapolis, IN 46205-2617 2020-06-23
1417572272 Hannah Jossen Ferrill Behavioral Analyst 6635 East 21st Street West Building, Indianapolis, IN 46219-2254 2020-06-08
1184251001 Hope Transitional Services LLC Behavioral Analyst 7830 Palawan Way Apt A, Indianapolis, IN 46239-2212 2020-03-23
1124679832 Kelsey Jean Lindberg Behavioral Analyst 1722 W 16th St, Indianapolis, IN 46202-2031 2019-09-24
1700430956 Jack Graves Behavioral Analyst 1402 Olive St, Indianapolis, IN 46203-1928 2019-07-26
1831751205 Healthy Options LLC Behavioral Analyst 10162 Sedgehill Dr, Indianapolis, IN 46239-9762 2019-07-05
1447818091 Mindful and Modern Methods for Aba, Inc Behavioral Analyst 7507 Michigan Rd, Indianapolis, IN 46268-2321 2019-05-30
1952967630 Ashli Nichole Degenfelder Behavioral Analyst 1389 W 86th St # 170, Indianapolis, IN 46260-2101 2019-05-17
1629540869 E Behavior Solutions LLC Behavioral Analyst 4515 Chatham Pl, Indianapolis, IN 46226-3236 2018-12-28
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Competitor

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City INDIANAPOLIS
Zip Code 46219

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Dataset Information

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.

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