Samantha Lee Wansor

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BH007238 Issued in PA

Practice address

655 Church St Ste E330
Indiana, PA 15701-2788

Phone

(724) 465-0369

NPI assigned

Sep 16, 2024

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

Locations

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.

• Family Behavioral Resources, Inc.

  • Public Health or Welfare Agency
  • Greensburg, PA
  • NPI 1508933599
  NPD
• Pathways Human Services of Pennsylvania, LLC

  • Public Health or Welfare Agency
  • Greensburg, PA
  • NPI 1043822208
  NPD

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1720815624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 CHURCH ST",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157012124",
            "telephone_number": "724-464-8395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 CHURCH ST STE E330",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157012788",
            "telephone_number": "724-465-0369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANSOR",
        "first_name": "SAMANTHA",
        "middle_name": "LEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH007238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Angelyn Kelly Waldor, MA
• Walk-in Medical Care Office, Inc.
• Walnut Management Corp
• Megan Nicole Ward, MA
• Crystal L Waters
• Donna L. Watkins, CRNA
• Amanda S Watson, B.A.
• Bethany Lorrain Wayman, M.A.

• Behavior Analyst in Indiana, PA
• Providers in Indiana, PA by specialty
• Behavior Analyst in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.