Samantha Hall, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-17-25769 Issued in IN

Practice address

908 Roosevelt Rd Ste K
Valparaiso, IN 46383-4376

Phone

(219) 242-8592

Fax

(219) 242-8631

NPI assigned

Apr 2, 2016

Last updated

Oct 22, 2018By 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

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

{
    "created_epoch": "1459555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1346603750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "764 WALTER DR",
            "city": "HEBRON",
            "state": "IN",
            "postal_code": "463417206",
            "telephone_number": "219-707-9972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 ROOSEVELT RD STE K",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463834376",
            "telephone_number": "219-242-8592",
            "fax_number": "219-242-8631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37 Market St SW",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280255007",
            "country_code": "US",
            "telephone_number": "855-201-5498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "SAMANTHA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-02",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IN",
            "license": "1-17-25769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ann Hager, RPH
• Basel Hajjar, DDS
• Brittney Hall
• Lacey Hall, R.D.
• Megan Nicole Hall, FNP-C
• Thomas Robert Hall, M.D.
• Heather Joyce Hammond, D.C.
• Amanda Hamrick
• Christopher Lane Hamrick, LMFT
• Monica Hanchar, B.S., COTA/L

• Behavior Analyst in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Behavior Analyst in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; 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.