Active NPI
Michael Sampson, BCBA, LBA
- Behavior Analyst
- Austin, TX
National Provider Identifier
1730828856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-22-58923
- Practice address
- 3006 Bee Caves Rd Ste B200
Austin, TX 78746-6751 - Phone
- (512) 328-5599
- Fax
- (512) 328-5585
- NPI assigned
- May 27, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 5075 | TX | |
| Behavior Analyst | 103K00000X | 1-22-58923 | Primary |
Addresses
Primary practice location
3006 Bee Caves Rd Ste B200
Austin, TX 78746-6751
Mailing address
3006 Bee Caves Rd Ste B200
Austin, TX 78746-6751
Phone (512) 328-5599
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-22-58923 | Other | BEHAVIOR ANALYST CERTIFICATION BOARD |
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": "1653609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653609600000",
"number": "1730828856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3006 BEE CAVES RD STE B200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787466751",
"telephone_number": "512-328-5599",
"fax_number": "512-328-5585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3006 BEE CAVES RD STE B200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787466751",
"telephone_number": "512-328-5599",
"fax_number": "512-328-5585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMPSON",
"first_name": "MICHAEL",
"credential": "BCBA, LBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-27",
"last_updated": "2022-05-27",
"certification_date": "2022-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "5075",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-22-58923",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
"identifier": "1-22-58923",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.