Samantha Lynn Hardesty, M.A., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-08-4368 Issued in NU

Practice address

2126 E Baltimore St
Baltimore, MD 21231-2041

Phone

(804) 519-1360

NPI assigned

Sep 19, 2013

Last updated

Sep 19, 2013By the provider in NPPES

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

Other identifiers 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Behavior Change Incorporated

  • Point of Service
  • Baltimore, MD
  • NPI 1073751293
  NPD (past) Authorized official
• Behavior Change Incorporated

  • Adolescent and Children Mental Health Clinic/Center
  • Baltimore, MD
  • NPI 1386967057
  NPD (past) Authorized official

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379548800000",
    "number": "1730515966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2126 E BALTIMORE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212312041",
            "telephone_number": "804-519-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2126 E BALTIMORE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212312041",
            "telephone_number": "804-519-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDESTY",
        "first_name": "SAMANTHA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "M.A., BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-19",
        "last_updated": "2013-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": "1-08-4368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5463050-00",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Hardart, M.D.
• Cherinna Andrea Hardeman, LCPC
• Diana Harden
• Erin Harden, M.AC., L.AC.
• Melissa Anne Harden
• Margaret Katrina Hardin, LCPC CCMHC
• Harding Consulting LLC
• Laura Harding-Fukushima, LCPC
• Carl Harding, LCPC
• Claudia Harding, LCSW-C

• Behavior Analyst in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Behavior Analyst in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.