Sam Sebastian, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-22-60170 Issued in NC

Practice address

16409 Northcross Dr
Huntersville, NC 28078-5065

Phone

(980) 441-8200

NPI assigned

Mar 7, 2023

Last updated

Sep 19, 2024By the provider in NPPES

Sex

Male

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  • NPI 1811097306
  NPD (past)

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1114627379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280120749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16409 NORTHCROSS DR",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785065",
            "telephone_number": "980-441-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEBASTIAN",
        "first_name": "SAM",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-07",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "1-22-60170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nakesha Nicole Scott, PHARMD, MBA, RPH
• Tonya Scott
• Seagren Wellness and Clinical Services, PLLC
• Kristy L Seagren, LCSW
• Payton Rae McMahan Seagroves, PA
• Elizabeth Ann Seeburger, LCMHCA
• Melanie Seeley, PT
• Ashley Seier, PA-C
• Robert Milton Selden III, DDS, MS
• Nicole Marie Seminara, M.D.

• Behavior Analyst in Huntersville, NC
• Providers in Huntersville, NC by specialty
• Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.