Individual provider Active NPI

Samantha Joe Sanchez, M.ED., BCBA, LBA-TX

  • Behavior Analyst
  • Austin, TX
National Provider Identifier
1003289448
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-18-32259 Issued in TX
Practice address
1300 E Riverside Dr
Austin, TX 78741-1178
Phone
(520) 982-1290
NPI assigned
Nov 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-18-32259 TX Primary

Addresses

Primary practice location

1300 E Riverside Dr
Austin, TX 78741-1178

Mailing address

1920 E Riverside Dr Ste A120, #369
Austin, TX 78741-6826
Phone (512) 234-2245

Other practice location 1

1201 lady bird lane
apt#424
austin, TX 78741
Phone (210) 727-9321

Other practice location 2

3403B Garden Villa Ln
Austin, TX 78704-6915
Phone (855) 832-6727 ext. 1401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Tree of Life ABA Therapy PLLC Behavior Analyst CurrentSince Jun 1, 2021 Accepting new patients

Locations

1920 E Riverside Dr
Ste A-120
Austin, TX 78741
Phone (512) 234-2245

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1446768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1003289448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 E RIVERSIDE DR STE A120, #369",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787416826",
            "telephone_number": "512-234-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E RIVERSIDE DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787411178",
            "telephone_number": "520-982-1290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 lady bird lane",
            "address_2": "apt#424",
            "address_purpose": "LOCATION",
            "city": "austin",
            "state": "TX",
            "postal_code": "78741",
            "country_code": "US",
            "telephone_number": "210-727-9321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3403B Garden Villa Ln",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787046915",
            "country_code": "US",
            "telephone_number": "855-832-6727 x1401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "SAMANTHA",
        "middle_name": "JOE",
        "name_prefix": "Ms.",
        "credential": "M.ED., BCBA, LBA-TX",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-06",
        "last_updated": "2021-09-14",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-18-32259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.