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SAMANTHA ODOM BCBA
NPI 1366192056
Behavior Analyst in Douglasville, GA

Active since March 25, 2022
9559 HIGHWAY 5 STE 601, DOUGLASVILLE, GA 30135(470) 632-5276(317) 520-8200 Get Directions Write a Review

NPPES record last updated: February 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samantha Odom Bcba NPPES

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

SAMANTHA ODOM BCBA (NPI 1366192056) is an individual behavior analyst provider in Douglasville, Georgia, licensed in Georgia (1-22-58690) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1366192056
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameSAMANTHA ODOMCredential: BCBA
Location Address9559 HIGHWAY 5 STE 601Douglasville, GA 30135-1572
Mailing Address3500 Depauw Blvd Ste 3070Indianapolis, IN 46268-6135 · (855) 324-0885 · Fax (317) 520-8200
Phone(470) 632-5276
Fax(317) 520-8200
Sole ProprietorNo
Enumeration DateMarch 25, 2022
Last NPPES UpdateFebruary 22, 2024
NPPES CertifiedFebruary 22, 2024
✔ NPI 1366192056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License✔ Licensed in GA · 1-22-58690
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.
9559 HIGHWAY 5 STE 601, Douglasville, GA 30135
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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.

LORNA NATALIE BRUNO BA
Behavior Technician
9559 HIGHWAY 5 STE 601
DOUGLASVILLE, GA 30135
Douglas County (470) 632-5276
SHANNA FEIS RBT
Behavior Technician
9559 HIGHWAY 5 STE 601
DOUGLASVILLE, GA 30135
Douglas County (470) 632-5276
FRANCHESCA SALMONSEN MA, BCBA
Behavior Analyst
9559 HIGHWAY 5 STE 601
DOUGLASVILLE, GA 30135
Douglas County (470) 632-5276
SERGIO NUNEZ RBT
Behavior Technician
9559 HIGHWAY 5 STE 601
DOUGLASVILLE, GA 30135
Douglas County (470) 632-5276
AUTUMN FAUST RBT
Behavior Technician
9559 HIGHWAY 5 STE 601
DOUGLASVILLE, GA 30135
Douglas County (470) 632-5276
MAYRA ARRIAGA RBT
Behavior Technician
9559 HIGHWAY 5 STE 601
DOUGLASVILLE, GA 30135
Douglas County (470) 632-5276
CARRIE JANETTE LANGSTON BA, RBT
Behavior Technician
9559 HIGHWAY 5 STE 601
DOUGLASVILLE, GA 30135
Douglas County (470) 632-5276
AMBRIANA CHISM RBT
Behavior Technician
9559 HIGHWAY 5 STE 601
DOUGLASVILLE, GA 30135
Douglas County (470) 632-5276

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 Samantha Odom's NPI number?

The NPI number for Samantha Odom is 1366192056. It was assigned to this individual provider in the NPPES registry on March 25, 2022.

Where is Samantha Odom located?

Samantha Odom practices at 9559 Highway 5 Ste 601, Douglasville, GA 30135. The listed phone number is (470) 632-5276.

What is Samantha Odom's specialty?

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

When was this NPI record last updated?

The NPPES record for Samantha Odom was last updated on February 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.