Samantha Rose Menard, MA, BCBA, LABA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-15-18268 Issued in MA

Practice address

23 Main St
Salisbury, MA 01952-1206

Phone

(617) 285-9648

NPI assigned

Apr 22, 2015

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

Other names 1

• Samantha Rose Florentino Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• New England ABA, Inc.

  • Behavior Analyst
  • Wakefield, MA
  • NPI 1407228836
  NPD (past)

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1669869020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 MAIN ST",
            "city": "SALISBURY",
            "state": "MA",
            "postal_code": "019521206",
            "telephone_number": "617-285-9648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 MAIN ST",
            "city": "SALISBURY",
            "state": "MA",
            "postal_code": "019521206",
            "telephone_number": "617-285-9648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43 Eastern Ave",
            "address_2": "Apt 2",
            "address_purpose": "LOCATION",
            "city": "Lynn",
            "state": "MA",
            "postal_code": "019021319",
            "country_code": "US",
            "telephone_number": "617-285-9648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENARD",
        "first_name": "SAMANTHA",
        "middle_name": "ROSE",
        "credential": "MA, BCBA, LABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-22",
        "last_updated": "2023-11-27",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "1-15-18268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smenard@ne-aba.com",
            "affiliation": "Y",
            "endpointDescription": "NE ABA work email",
            "affiliationName": "New England ABA, Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "607 North Ave",
            "address_2": "Door 11 Floor 2",
            "city": "Wakefield",
            "state": "MA",
            "country_code": "US",
            "postal_code": "018801322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "FLORENTINO",
            "middle_name": "ROSE",
            "credential": "MA, BCBA, LABA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ellen Margaret Lincoln, LICSW
• Matthew Adam Lipson, LICSW, MSW
• Jeremiah Mancuso, RN
• Erica Marx, RPH
• Kaitlyn Rose McDonald, PT, DPT
• Annika Michaels, DPT
• Andrea Migneault-Ciriello, CNP
• Catherine Milledge
• Mind Over Matter Counseling Services, LLC
• Kathleen Ann Muise, PT

• All providers in Salisbury, MA
• Behavior Analyst in Massachusetts

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