SAMANTHA LEE BRODERICK BCBA
NPI 1932494754
Behavior Analyst in Jacksonville, FL

Q: What is Samantha Broderick's NPI number?

The NPI number for Samantha Broderick is 1932494754. It was assigned to this individual provider in the NPPES registry on June 9, 2011. The provider is also known as Samantha Broderick Bcba.

Q: What is Samantha Broderick's specialty?

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

Active since June 09, 2011

6820 SOUTHPOINT PKWY STE 9, JACKSONVILLE, FL 32216(888) 754-0398(954) 866-5513 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 3, 2026, Feb 14, 2025, Nov 4, 2022 and 4 more (7 updates tracked since 2018).

On this page

About Samantha Lee Broderick Bcba NPPES

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

SAMANTHA LEE BRODERICK BCBA (NPI 1932494754) is an individual behavior analyst provider in Jacksonville, Florida, licensed in Florida (1-16-23336) and active in the NPI registry since June 2011.

NPPES Registry Identity

NPI1932494754

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameSAMANTHA LEE BRODERICKCredential: BCBA

Location Address6820 SOUTHPOINT PKWY STE 9Jacksonville, FL 32216-6277

Mailing Address6820 Southpoint Pkwy Ste 9Jacksonville, FL 32216-6277 · (888) 754-0398

Phone(888) 754-0398

Fax(954) 866-5513

Sole ProprietorYes

Enumeration DateJune 9, 2011

Last NPPES UpdateFebruary 3, 20267 updates tracked since enumeration

NPPES CertifiedFebruary 3, 2026

✔ NPI 1932494754 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 FL · 1-16-23336

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.

6820 SOUTHPOINT PKWY STE 9, Jacksonville, FL 32216

Open in Google Maps ↗

Other Names 1

Former Name (1)Samantha Broderick Bcba

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.Insurance ›

Leave this field empty

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.

AMAYA FRANCIS MARIE MARZANO

Behavior Technician