Samantha Nicole Scala, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-21-170570 Issued in CO

Practice address

4143 Columbia Rd
Martinez, GA 30907-5404

Phone

(706) 755-2785

Fax

(706) 755-2783

NPI assigned

Jun 27, 2021

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Live Oak Behavioral Services, LLC

  • Behavior Analyst
  • Evans, GA
  • NPI 1477040244
  NPD (past)

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

{
    "created_epoch": "1624752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624752000000",
    "number": "1568032191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4143 COLUMBIA RD STE B",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309075405",
            "telephone_number": "706-755-2785",
            "fax_number": "706-755-2783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4143 COLUMBIA RD",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309075404",
            "telephone_number": "706-755-2785",
            "fax_number": "706-755-2783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCALA",
        "first_name": "SAMANTHA",
        "middle_name": "NICOLE",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-27",
        "last_updated": "2021-06-27",
        "certification_date": "2021-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CO",
            "license": "RBT-21-170570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sakinah Center
• Buddy D. Sanders, M.A.
• Pamela Ann Sanders, R.N.
• Melloney Santiago, QMHP
• Savannah River Dermatology LLC
• Morgan Taylor Schaack, RD LD CPT
• Mackenzie Schaeffer
• Georgia Schaffer
• Jennifer Schofield
• Thaila Ann Schug

• Behavior Technician in Martinez, GA
• Providers in Martinez, GA by specialty
• Behavior Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.