Individual provider Active NPI

Samantha Cierra Rankine

  • Behavior Analyst
  • Snellville, GA
National Provider Identifier
1083370845
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-24-77566 Issued in GA
Practice address
3120 Lake Port Dr
Snellville, GA 30039-5444
Phone
(478) 305-4142
NPI assigned
Nov 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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 1-24-77566 GA Primary

Addresses

Primary practice location

3120 Lake Port Dr
Snellville, GA 30039-5444

Mailing address

3120 Lake Port Dr
Snellville, GA 30039-5444
Phone (478) 305-4142

Other identifiers 1

IdentifierTypeStateIssuer
464160640OtherABA

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

NPI Registry JSON

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1083370845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 LAKE PORT DR",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300395444",
            "telephone_number": "478-305-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 LAKE PORT DR",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300395444",
            "telephone_number": "478-305-4142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANKINE",
        "first_name": "SAMANTHA",
        "middle_name": "CIERRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-16",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "1-24-77566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ABA",
            "identifier": "464160640",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; 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.