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JEANNINE SAM BCBA
NPI 1790197176
Behavior Analyst in Danbury, CT

Active since May 20, 2014
16 BLACKBERRY RD, DANBURY, CT 06811(203) 312-3974 Get Directions Write a Review

NPPES record last updated: May 20, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jeannine Sam Bcba NPPES

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

JEANNINE SAM BCBA (NPI 1790197176) is an individual behavior analyst provider in Danbury, Connecticut, licensed in (1-14-15457) and active in the NPI registry since May 2014.

NPPES Registry Identity

NPI1790197176
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameJEANNINE SAMCredential: BCBA
Location Address16 BLACKBERRY RDDanbury, CT 06811-3815
Mailing Address16 Blackberry RdDanbury, CT 06811-3815 · (203) 312-3974
Phone(203) 312-3974
Sole ProprietorNo
Enumeration DateMay 20, 2014
✔ NPI 1790197176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License✔ Licensed · 1-14-15457
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.
Also ListedSpecialistTaxonomy 174400000X · License 1139409 (NY)
16 BLACKBERRY RD, Danbury, CT 06811
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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 Jeannine Sam's NPI number?

The NPI number for Jeannine Sam is 1790197176. It was assigned to this individual provider in the NPPES registry on May 20, 2014.

Where is Jeannine Sam located?

Jeannine Sam practices at 16 Blackberry Rd, Danbury, CT 06811. The listed phone number is (203) 312-3974.

What is Jeannine Sam'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 Jeannine Sam was last updated on May 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.