Individual provider Active NPI

Samantha Ashleigh Lambros, MED, BCBA

  • Behavior Analyst
  • Phoenix, AZ
National Provider Identifier
1053702928
Registry record updated Feb 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-14-16895 Issued in AZ
Practice address
801 E Camelback Rd
Phoenix, AZ 85014-3660
Phone
(602) 535-8341
NPI assigned
Feb 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2015

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 1-14-16895 AZ Primary

Addresses

Primary practice location

801 E Camelback Rd
Phoenix, AZ 85014-3660

Mailing address

19820 N 13TH Ave Unit 255
Phoenix, AZ 85027-4317
Phone (602) 487-1879

Other identifiers 1

IdentifierTypeStateIssuer
26-475-3045OtherAZWORKPLACE

Other names 1

  • Samantha Ashleigh Masterson Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423699200000",
    "number": "1053702928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19820 N 13TH AVE UNIT 255",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274317",
            "telephone_number": "602-487-1879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E CAMELBACK RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850143660",
            "telephone_number": "602-535-8341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMBROS",
        "first_name": "SAMANTHA",
        "middle_name": "ASHLEIGH",
        "credential": "MED, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-12",
        "last_updated": "2015-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AZ",
            "license": "1-14-16895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKPLACE",
            "identifier": "26-475-3045",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "MASTERSON",
            "middle_name": "ASHLEIGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; 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.