Samantha Deanne Beal

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

14736 Rocky Blue Acres LN
14736 Rocky Blue Acres LN SE
Yelm, WA 98597-8006

Phone

(925) 471-2179

NPI assigned

Oct 7, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1891392254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14736 ROCKY BLUE ACRES LN SE",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985978006",
            "telephone_number": "925-471-2179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14736 ROCKY BLUE ACRES LN",
            "address_2": "14736 ROCKY BLUE ACRES LN SE",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985978006",
            "telephone_number": "925-471-2179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAL",
        "first_name": "SAMANTHA",
        "middle_name": "DEANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-07",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rebecca Ann Barber, LMHC
• Jessica Marie Barker
• Laura Beth Behymer, PT
• Abby Bellard, MS, CCC-SLP
• Bellona Medical Billing Solutions
• Joan Rose Belonia, RN
• Carlos J Benitez

• Behavior Technician in Yelm, WA
• Providers in Yelm, WA by specialty
• Behavior Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.