Samantha Gayle Sardone, M.ED. BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-14-17660 Issued in GA

Practice address

885 Woodstock Rd
Ste 430-226
Roswell, GA 30075-2277

Phone

(770) 992-8534

NPI assigned

Jun 13, 2016

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

Credentials

Master of Education

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.

• Innovative Behavior Options

  • Behavior Analyst
  • Roswell, GA
  • NPI 1073984720
  NPD (past)
• Innovative Behavior Options

  • Community/Behavioral Health Agency
  • Roswell, GA
  • NPI 1265823348
  NPD (past)

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1649620451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2663 CEDAR DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300431325",
            "telephone_number": "856-630-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 WOODSTOCK RD",
            "address_2": "STE 430-226",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752277",
            "telephone_number": "770-992-8534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARDONE",
        "first_name": "SAMANTHA",
        "middle_name": "GAYLE",
        "credential": "M.ED. BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-13",
        "last_updated": "2016-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "1-14-17660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prinyada Sangmalee, MS
• Eugene Sanik, D.O.
• Paige Santmyer, MA NCC APC
• Amanda Santos, RBT
• Kristen Santos
• Heath Satterfield, MS, CCC-SLP
• Marian A Saunders, PT
• Sawdust Occupational Therapy LLC
• Heidi Sawyer
• Kevin Saxon

• Behavior Analyst in Roswell, GA
• Providers in Roswell, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.