Samantha Hormaza, MS

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-18-33413 Issued in FL

Practice address

13815 Devan Lee Dr E
Jacksonville, FL 32226-5868

Phone

(904) 412-8544

NPI assigned

Oct 6, 2014

Last updated

Jan 30, 2019By the provider in NPPES

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

Credentials

Master of Science

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.

• Behavior Builders, LLC

  • Behavior Analyst
  • Jacksonville, FL
  • NPI 1871939280
  NPD (past)

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1164825048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13815 DEVAN LEE DR E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322265868",
            "telephone_number": "904-412-8544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13815 DEVAN LEE DR E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322265868",
            "telephone_number": "904-412-8544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORMAZA",
        "first_name": "SAMANTHA",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-06",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-18-33413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devin R Horde, PA-C
• Avery D Horgan, PT
• Grace Elisia Horgan, MOT, OTR/L
• Horizon Relay Services
• Alexandria Horlacher
• Hormone Health and Weight Loss
• Ashley L Horn, ARNP
• Karl Joseph Horn, M.D.
• Kenneth Horn, MD
• Kirstin Renee Horn, LMT

• Behavior Analyst in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; 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.