Samantha Moorhouse, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-19-39299

Practice address

11930 Amargosa Road
#1075 Suite 1
Victorville, CA 92392

Phone

(734) 478-1809

Fax

(912) 415-8053

NPI assigned

Jan 15, 2019

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

Other names 1

• Samantha Rathfon Former name

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": "1547510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1437623238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 W GENERAL SCREVEN WAY STE G",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313133053",
            "telephone_number": "734-478-1809",
            "fax_number": "912-415-8053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11930 AMARGOSA ROAD",
            "address_2": "#1075 SUITE 1",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "92392",
            "telephone_number": "734-478-1809",
            "fax_number": "912-415-8053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "938 Elma G Miles Pkwy",
            "address_purpose": "LOCATION",
            "city": "Hinesville",
            "state": "GA",
            "postal_code": "313134515",
            "country_code": "US",
            "telephone_number": "912-294-4055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORHOUSE",
        "first_name": "SAMANTHA",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-15",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-19-39299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "RATHFON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Behavior Analyst in Victorville, CA
• Providers in Victorville, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.