Samantha Ryan

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-19-39884 Issued in FL

Practice address

5447 E Beaumont Center Blvd
Tampa, FL 33634-5210

Phone

(888) 754-0398

NPI assigned

Feb 16, 2016

Last updated

Mar 8, 2022By the provider in NPPES

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

Practice roles

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

• Vocational Development Group, LLC

  dba Behavior Development Group

  • Behavior Analyst
  • Davie, FL
  • NPI 1811352099
  NPD (past)

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1699134858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9664 LAKE CHASE ISLAND WAY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336261936",
            "telephone_number": "352-263-6808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5447 E BEAUMONT CENTER BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336345210",
            "telephone_number": "888-754-0398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6951 Pistol Range Rd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336359601",
            "country_code": "US",
            "telephone_number": "813-814-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYAN",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-16",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-19-39884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janelle Nichole Ryan, LCSW
• Lindsey Ryan
• Mary Ryan, EI
• Michael T Ryan
• Reed Lloyd Ryan, ARNP
• Sharon Ryan, RBT
• Isabelle Rybinski
• Lauren Elizabeth Rybolt, DO
• Brianna Renee Rychcik
• Nicole Christine Ryckeley, MS OTR L

• Behavior Analyst in Tampa, FL
• Providers in Tampa, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.