Active NPI
Samantha Alyse Siegel, RBT
- Behavior Analyst
- Lehigh Acres, FL
National Provider Identifier
1457124687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- RBT-23-307187
- Practice address
- 1914 Lemona Ave
Lehigh Acres, FL 33972-1045 - Phone
- (239) 321-3312
- NPI assigned
- Oct 31, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | RBT-23-307187 | FL | Primary |
Addresses
Primary practice location
1914 Lemona Ave
Lehigh Acres, FL 33972-1045
Mailing address
1914 Lemona Ave
Lehigh Acres, FL 33972-1045
Phone (239) 321-3312
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-23-307187 | FL | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698710400000",
"number": "1457124687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1914 LEMONA AVE",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339721045",
"telephone_number": "239-321-3312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1914 LEMONA AVE",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339721045",
"telephone_number": "239-321-3312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEGEL",
"first_name": "SAMANTHA",
"middle_name": "ALYSE",
"credential": "RBT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-31",
"last_updated": "2023-10-31",
"certification_date": "2023-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "RBT-23-307187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lehigh Acres, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.