SAMANTHA ANNE SIPES (NPI# 1881101632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881101632 |
| Entity Type | Individual |
| Full Name | SAMANTHA ANNE SIPES |
| Practice Address |
1926 Via Ctr Ste B Vista CA 92081-6056 |
| Practice Telephone | 7602941206 |
| Mailing Telephone | 7602941206 |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2020-02-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-19-40129 | CA | Behavioral Health & Social Service Providers |
| N | 106S00000X | Behavior Technician | RBT-16-26831 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124595442 | Samantha Sipes | Counselor | 521 E 86th Ave Ste H, Merrillville, IN 46410-6236 | 2018-10-24 |
| Street Address |
1926 VIA CTR STE B |
| City | VISTA |
| State | CA |
| Zip Code | 92081-6056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912506486 | Marline Berenice Nunez | Behavioral Analyst | 1926 Via Ctr Ste B, Vista, CA 92081-6056 | 2020-10-25 |
| 1821696527 | Sara Christine Holmes | Behavior Technician | 1926 Via Ctr Ste B, Vista, CA 92081-6056 | 2020-10-14 |
| 1386250181 | Sandra Luz Cano | Behavior Technician | 1926 Via Ctr Ste B, Vista, CA 92081-6056 | 2020-09-17 |
| 1942815956 | Jazmin Menera Ibarra | Behavior Technician | 1926 Via Ctr Ste B, Vista, CA 92081-6056 | 2020-09-15 |
| 1386257467 | Leslie Mendez | Behavior Technician | 1926 Via Ctr Ste B, Vista, CA 92081-6056 | 2020-08-28 |
| 1538770250 | Samantha Dixon | Behavior Technician | 1926 Via Ctr Ste B, Vista, CA 92081-6056 | 2020-08-14 |
| 1588272173 | Marlene Xochical Gijon | Technician, Other | 1926 Via Ctr Ste B, Vista, CA 92081-6056 | 2020-07-20 |
| 1780292904 | Courtney Breanne Rinker | Behavior Technician | 1926 Via Ctr Ste B, Vista, CA 92081-6056 | 2020-07-14 |
| 1811515422 | Yessenia Monae Parra | Technician, Other | 1926 Via Ctr Ste B, Vista, CA 92081-6056 | 2020-07-09 |
| 1891326401 | Saul Enmanuel Silva | Behavior Technician | 1926 Via Ctr Ste B, Vista, CA 92081-6056 | 2020-02-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548896202 | Maritza Mercado | Behavior Technician | 1926 Civic Center Dr Suite B, Vista, CA 92081 | 2020-03-13 |
| 1417599267 | Cherelle Artise Lewis | Behavior Technician | 1926 Via Centre Drive, Suite B, Vista, CA 92081 | 2019-10-14 |
| 1194101295 | Mary Stewart | Physical Therapist | 1515 S Melrose Dr, Vista, CA 92081 | 2015-07-31 |
| 1184069122 | Houri Fatourachi, Dds Inc | Dentist | 2325 S Melrose Dr., Vista, CA 92081 | 2013-05-03 |
| 1821377037 | Mori Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 2320 La Mirada Dr, Vista, CA 92081 | 2011-08-05 |
| 1497068563 | Gerald Francis Moore | Dentist | 610 S. Melrose Dr, Vista, CA 92081 | 2010-07-19 |
| 1316274749 | Mahtab Saadatmandi | Dentist | 2311 S. Melrose Dr., Vista, CA 92081 | 2009-11-05 |
| 1760650808 | Edward George Dougherty | Occupational Therapy Assistant | 1579 Wellington Lane, 51, Vista, CA 92081 | 2008-02-12 |
| 1831398676 | Longs Drug Stores California LLC | Pharmacy | 635 S Melrose Dr, Vista, CA 92081 | 2007-07-12 |
| 1346462231 | Houri Fatourachi | Dentist | 2325 South Melrose Drive, Vista, CA 92081 | 2007-05-02 |
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| 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 |
|---|---|---|---|---|
| 1740820372 | Feeding Solutions LLC | Behavioral Analyst | 1896 Chaparral Dr, Vista, CA 92081-5345 | 2020-01-11 |
| 1255846135 | Roxanne Evelyn Hanania | Behavioral Analyst | 1005 Highland Dr, Vista, CA 92083-3309 | 2017-12-13 |
| 1679005250 | Kelli Acselrod | Behavioral Analyst | 707 Civic Center Dr Ste 202, Vista, CA 92084-6162 | 2017-04-01 |
| 1619428216 | Believing In Change | Behavioral Analyst | 110 Civic Center Dr, Suite 207, Vista, CA 92084-6037 | 2016-10-18 |
| 1760859706 | Nicole Aschenbrenner | Behavioral Analyst | 1788 Pinnacle Ct, Vista, CA 92081-5480 | 2015-08-25 |
| 1912506486 | Marline Berenice Nunez | Behavioral Analyst | 1926 Via Ctr Ste B, Vista, CA 92081-6056 | 2020-10-25 |
| 1336790286 | Raymond Sapiera | Behavioral Analyst | 707 Civic Center Dr Ste 202, Vista, CA 92084-6162 | 2019-09-23 |
| 1861056954 | Alexis Vizcarra | Behavioral Analyst | 707 Civic Center Dr Ste 202, Vista, CA 92084-6162 | 2019-04-24 |
| 1518464221 | Savannah Wright-evans | Behavioral Analyst | 707 Civic Center Dr Ste 202, Vista, CA 92084-6162 | 2018-04-09 |
| 1992213854 | Adrianna Navarro | Behavioral Analyst | 707 Civic Center Dr Ste 202, Vista, CA 92084-6162 | 2018-01-12 |
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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.