Samantha Bergin, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-19-39063 Issued in GA

Practice address

4080 McGinnis Ferry Rd Ste 301
Alpharetta, GA 30005-1737

Phone

(678) 710-2324

NPI assigned

Jan 10, 2020

Last updated

Jun 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1326688086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 ELAINE DR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300754602",
            "telephone_number": "914-316-3166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 MCGINNIS FERRY RD STE 301",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300051737",
            "telephone_number": "678-710-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGIN",
        "first_name": "SAMANTHA",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-10",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "1-19-39063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa A Bennett
• Melissa G Bennett, ND
• Alice Carpenter Bentley, LPC
• Austin Bentley
• Pamela Bentley, PT, DPT
• David Moshe Bergman, M.D.
• Paige Berkey
• Jeffrey Berklich, DC MPH
• Murray R Berkowitz, D.O., M.P.H.
• Nicholas Scott Berlin, DMD

• Behavior Analyst in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Behavior Analyst in Georgia

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