CARISSA SAMUEL
NPI 1023651536
Behavior Technician in Fremont, CA

Active since October 28, 2019
39210 STATE ST STE 100, FREMONT, CA 94538(510) 894-4456 Get Directions Write a Review

NPPES record last updated: October 28, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Carissa Samuel NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARISSA SAMUEL (NPI 1023651536) is an individual behavior technician in Fremont, California and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1023651536
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameCARISSA SAMUEL
Location Address39210 STATE ST STE 100Fremont, CA 94538-1456
Mailing Address21600 Oxnard StWoodland Hills, CA 91367-4976
Sole ProprietorNo
Enumeration DateOctober 28, 2019
NPI 1023651536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition

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.

39210 STATE ST STE 100, Fremont, CA 94538

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Analyst
39210 STATE ST STE 100
FREMONT, CA 94538
Behavior Technician
39210 STATE ST STE 100
FREMONT, CA 94538
Behavior Analyst
39210 STATE ST STE 100
FREMONT, CA 94538
Behavior Technician
39210 STATE ST STE 100
FREMONT, CA 94538
Behavior Technician
39210 STATE ST STE 100
FREMONT, CA 94538
Behavior Technician
39210 STATE ST STE 100
FREMONT, CA 94538
Behavior Analyst
39210 STATE ST STE 100
FREMONT, CA 94538
Behavior Analyst
39210 STATE ST STE 100
FREMONT, CA 94538

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carissa Samuel's NPI number?

The NPI number for Carissa Samuel is 1023651536. It was assigned to this individual provider in the NPPES registry on October 28, 2019.

Where is Carissa Samuel located?

Carissa Samuel practices at 39210 State St Ste 100, Fremont, CA 94538. The listed phone number is (510) 894-4456.

What is Carissa Samuel's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Carissa Samuel was last updated on October 28, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.