Active NPI
Samantha Madison Lee
- Behavior Analyst
- Bridgeport, CT
National Provider Identifier
1710874359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-23-69527
- Practice address
- 3180 Main St Ste G1
Bridgeport, CT 06606-4237 - Phone
- (877) 222-0399
- NPI assigned
- Jun 18, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-23-69527 | Primary |
Addresses
Primary practice location
3180 Main St Ste G1
Bridgeport, CT 06606-4237
Mailing address
26 Belden Ave Unit 2117
Norwalk, CT 06850-3383
Phone (814) 441-3550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750204800000",
"number": "1710874359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 BELDEN AVE UNIT 2117",
"city": "NORWALK",
"state": "CT",
"postal_code": "068503383",
"telephone_number": "814-441-3550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3180 MAIN ST STE G1",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066064237",
"telephone_number": "877-222-0399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "SAMANTHA",
"middle_name": "MADISON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-18",
"last_updated": "2025-06-18",
"certification_date": "2025-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-23-69527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.