Samantha Anne Haskins, RBT

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-23-66185 Issued in FL

Practice address

11820 Munbury Dr
Dade City, FL 33525-5747

Phone

(352) 999-0447

Fax

(352) 437-4921

NPI assigned

Dec 19, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• American Behavioral Consulting of Iowa LLC

  • Behavior Analyst
  • Iowa City, IA
  • NPI 1366036873
  NPD
• American Behavioral Consulting LLC

  • Behavior Analyst
  • Dade City, FL
  • NPI 1912442849
  NPD (past)

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

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1639717689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 623",
            "city": "SAN ANTONIO",
            "state": "FL",
            "postal_code": "335760623",
            "telephone_number": "352-999-0447",
            "fax_number": "352-437-4921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11820 MUNBURY DR",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335255747",
            "telephone_number": "352-999-0447",
            "fax_number": "352-437-4921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASKINS",
        "first_name": "SAMANTHA",
        "middle_name": "ANNE",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-19",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-23-66185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda Kristen Hager, LMHC
• Madisyn Haney, BCBA
• Miranda Hanley
• Jada Harrison
• Liline Harvey
• Healthstat Wellness Pasco Dade
• Healthstat Wellness Pasco-Dade Dispensing
• Heartful Haven Companion Care LLC
• Joan E Heitzler, ARNP
• Ashley Hendrickson

• Behavior Analyst in Dade City, FL
• Providers in Dade City, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.

Verify at the official NPI Registry.