Samantha Brundage, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-20-45640 Issued in CT

Practice address

6116 Shallowford Rd Ste 119&202
Chattanooga, TN 37421-7201

Phone

(423) 556-3714

NPI assigned

Nov 5, 2020

Last updated

May 1, 2025By 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

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.

• Acorn Health of Illinois, LLC

  • Behavior Analyst
  • O'Fallon, IL
  • NPI 1144867854
  NPD (past)
• Acorn Health, LLC.

  • Behavior Analyst
  • Coral Gables, FL
  • NPI 1801494679
  NPD (past)
• Autism Behavioral Health

  • Behavior Analyst
  • Danbury, CT
  • NPI 1407399660
  NPD (past)

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1275134231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S DOUGLAS RD STE 230",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6116 SHALLOWFORD RD STE 119&202",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374217201",
            "telephone_number": "423-556-3714"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1651 Crofton Blvd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Crofton",
            "state": "MD",
            "postal_code": "211141314",
            "country_code": "US",
            "telephone_number": "410-888-0184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUNDAGE",
        "first_name": "SAMANTHA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-05",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CT",
            "license": "1-20-45640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Reginald Bruce, MD
• William David Bruce, M.D.
• Gabriel E. Bruffy-Holmes, M.D.
• Stacey L. Bruington, RN
• Victoria A Brumlow, FNP
• Thomas Benj Bruns, M.D.
• Gary A. Brunvoll, DO
• Jason Bryan
• Jennifer P Bryan, APRN FNP-BC
• Kendrea Bryant Burks, PHARMD

• Behavior Analyst in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Behavior Analyst in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.