SAMANTHA BULLOCK M.ED
NPI 1154786481
Behavior Analyst in Waltham, MA

Q: What is Samantha Bullock's NPI number?

The NPI number for Samantha Bullock is 1154786481. It was assigned to this individual provider in the NPPES registry on December 31, 2015.

Q: What is Samantha Bullock's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Bullock was last updated on December 31, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 31, 2015

1430 MAIN ST, WALTHAM, MA 02451(781) 647-5327 Get Directions Write a Review

NPPES record last updated: December 31, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Samantha Bullock M.ed NPPES

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

SAMANTHA BULLOCK M.ED (NPI 1154786481) is an individual behavior analyst provider in Waltham, Massachusetts and active in the NPI registry since December 2015.

NPPES Registry Identity

NPI1154786481

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameSAMANTHA BULLOCKCredential: M.ED

Location Address1430 MAIN STWaltham, MA 02451-1623

Mailing Address1430 Main StWaltham, MA 02451-1623 · (781) 693-1370

Phone(781) 647-5327

Sole ProprietorNo

Enumeration DateDecember 31, 2015

✔ NPI 1154786481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

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.

1430 MAIN ST, Waltham, MA 02451

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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.

DR. ELIZABETH HARRAH MCENANY PSY.D.

Psychologist (Clinical)

1430 MAIN ST, JF&CS, CENTER FOR EARLY RELATIONSHIP SUPPORT
WALTHAM, MA 02451

Middlesex County (781) 693-5673

SHAYNA FEL L.C.S.W

Social Worker (Clinical)