Individual provider Active NPI

Samantha Olivas, MA, M.ED., BCBA

  • Behavior Analyst
  • Albuquerque, NM
National Provider Identifier
1891175923
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
7704 San Francisquita CT NW
Albuquerque, NM 87120-3653
Phone
(505) 366-9512
NPI assigned
Jun 3, 2015
Last updated
Dec 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

7704 San Francisquita CT NW
Albuquerque, NM 87120-3653

Mailing address

6300 Riverside Plaza LN NW Ste 118
Albuquerque, NM 87120-2617
Phone (505) 366-9512

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
Credentials
Master of Arts, Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Iris Behavioral Health LLC Behavior Analyst CurrentSince Dec 21, 2025 Accepting new patients

Locations

6300 Riverside Plaza Ln NW
Ste 118
Albuquerque, NM 87120
Phone (505) 210-7292

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1891175923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 RIVERSIDE PLAZA LN NW STE 118",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871202617",
            "telephone_number": "505-366-9512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7704 SAN FRANCISQUITA CT NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871203653",
            "telephone_number": "505-366-9512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVAS",
        "first_name": "SAMANTHA",
        "credential": "MA, M.ED., BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-03",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.

Verify at the official NPI Registry.