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Samuel Judd , BCBA

Behavior Analyst β€’ Celebration, FL

Active NPI 1679114920 Individual Practitioner Male Practitioner
Practice location in NPPES

1170 Celebration Blvd Ste 104
Celebration, FL 347474604

Call 4076476555 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1170 Celebration Blvd Ste 104

Celebration, FL 347474604

Telephone 4076476555
Organization at the Same NPPES Address or Phone
Maxim Healthcare Services, Inc Facility NPI 1285382143

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Celebration and Florida

12 active clinicians are listed under Behavior Analyst with a practice address in Celebration, FL (13,581 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Celebration

0% of these 12 clinicians have the CMS telehealth indicator.

0% of these 12 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-02-18
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES FL 1-24-71059

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Assistant Behavior Analyst

NUCC Taxonomy Code: 106E00000X

License # reported to NPPES FL 0-23-14623

An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
102795100 (FL)
Other Identifier Bacb
1-24-71059

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
πŸ“
Updated Practice Location February 18, 2025

Registered at 1170 CELEBRATION BLVD STE 104, CELEBRATION, FL 347474604 (Tel: 4076476555)

πŸ“
Updated Business Mailing Address February 18, 2025

Registered at 4620 N STATE ROAD 7 STE 300, LAUDERDALE LAKES, FL 333195867 (Tel: 3047075510)

πŸ‘€
Provider Name / Credentials Updated February 05, 2024

Recorded as SAMUEL JUDD, BCBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 05, 2024

Assistant Behavior Analyst (license number reported to NPPES: FL 0-23-14623)

πŸ“
Updated Practice Location October 10, 2023

Registered at 601 S LAKE DESTINY RD STE 350, MAITLAND, FL 327517222 (Tel: 4076476555)

πŸ“
Updated Business Mailing Address October 10, 2023

Registered at 14714 VISTA DEL LAGO BLVD, WINTER GARDEN, FL 347878803 (Tel: 3047075510)

πŸ‘€
Provider Name / Credentials Updated October 10, 2023

Recorded as SAMUEL JUDD, BCABA

βœ…
NPI Profile Active October 07, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 07, 2019

Registered at 6416 NW 5TH WAY, FORT LAUDERDALE, FL 333096112 (Tel: 8887540398)

πŸ“
Business Mailing Address (Initial Record) October 07, 2019

Registered at 11400 BANNER CT APT 1202, ORLANDO, FL 328219395 (Tel: 3042617175)

πŸ‘€
Provider Name / Credentials (Initial Record) October 07, 2019

Recorded as SAMUEL JUDD, RBT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 07, 2019

Behavior Technician

🟒
Initial NPI Registration & Enumeration October 07, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1679114920
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 07, 2019
Last Update: February 18, 2025
Sole Proprietor: No

Mailing Address

4620 N State Road 7 Ste 300

Lauderdale Lakes, FL 333195867

Phone: 3047075510

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.