Samantha Lynn Wolf, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

360 Route 101
Suite 11
Bedford, NH 03110-5030

Phone

(603) 471-2522

Fax

(877) 754-5246

NPI assigned

Apr 19, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Autism Bridges LLC

  • Behavior Analyst
  • Bedford, NH
  • NPI 1205131596
  NPD (past)

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1104270982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 ROUTE 101",
            "address_2": "SUITE 11",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031105030",
            "telephone_number": "603-471-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 ROUTE 101",
            "address_2": "SUITE 11",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031105030",
            "telephone_number": "603-471-2522",
            "fax_number": "877-754-5246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13 Branch St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Methuen",
            "state": "MA",
            "postal_code": "018441900",
            "country_code": "US",
            "telephone_number": "978-655-9064",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2299 Woodbury Ave",
            "address_purpose": "LOCATION",
            "city": "Newington",
            "state": "NH",
            "postal_code": "038017854",
            "country_code": "US",
            "telephone_number": "603-294-0649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLF",
        "first_name": "SAMANTHA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-19",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Wirth, MS, LCGC
• Bettina Maria Wise, P.T.
• Lisa Christine Withrow, APRN, NP-C
• Wobbly Beginnings LLC
• Nancy Eileen Wolf, OD
• Greg Woodsum, PT
• Brianna Katherine Worcester, M.S., OTR/L
• Michelle Wright, LCMHC
• Philip K. Wu, MD, PHD
• Elizabeth Favreau Wuebbolt, PT

• Behavior Analyst in Bedford, NH
• Providers in Bedford, NH by specialty
• Behavior Analyst in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.