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Samantha Ackerman , MS, BCBA

Behavior Analyst β€’ Canton, GA

Active NPI 1831663947 Individual Practitioner Female Practitioner
Practice location in NPPES

535 Riverstone Parkway Suite 101
Canton, GA 301142566

Call 8559420995 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

535 Riverstone Parkway Suite 101

Canton, GA 301142566

Telephone 8559420995
Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in El Paso, TX; Las Vegas, NV. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

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 Canton and Georgia

23 active clinicians are listed under Behavior Analyst with a practice address in Canton, GA (2,711 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Canton

0% of these 23 clinicians have the CMS telehealth indicator.

0% of these 23 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: 2023-03-16
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES GA 1-23-64713

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.

Behavior Analyst

NUCC Taxonomy Code: 103K00000X

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.

Behavior Technician

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

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: Georgia Composite Medical Board.
Look Up on State Board Site

Secondary Practice Locations

7318 W Post Rd

Las Vegas, NV 891136644

Phone: 8006152361

725 S Mesa Hills Dr Bldg 3

El Paso, TX 799125568

Phone: 9157604147

Career & Practice History Timeline

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

11 Historical Events
πŸ‘€
Provider Name / Credentials Updated March 16, 2023

Recorded as SAMANTHA ACKERMAN, MS, BCBA

πŸ“
Updated Practice Location September 30, 2020

Registered at 535 RIVERSTONE PARKWAY SUITE 101, CANTON, GA 301142566 (Tel: 8559420995)

πŸ“
Updated Business Mailing Address September 30, 2020

Registered at 300 INTERNATIONAL PARKWAY SUITE 200, LAKE MARY, FL 327465028 (Tel: 8666100580)

πŸ“
Updated Practice Location March 24, 2020

Registered at 725 S MESA HILLS DR BLDG 3, EL PASO, TX 799125568 (Tel: 9157604147)

πŸ“
Updated Business Mailing Address March 24, 2020

Registered at 16782 VON KARMAN AVE STE 11, IRVINE, CA 926062417 (Tel: 9498332237)

βœ…
NPI Profile Active January 11, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 11, 2019

Registered at 7318 W POST RD, LAS VEGAS, NV 891136644 (Tel: 8006152361)

πŸ“
Business Mailing Address (Initial Record) January 11, 2019

Registered at 7318 W POST RD, LAS VEGAS, NV 891136644

πŸ‘€
Provider Name / Credentials (Initial Record) January 11, 2019

Recorded as SAMANTHA ACKERMAN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2019

Behavior Analyst

🟒
Initial NPI Registration & Enumeration January 11, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1831663947
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 11, 2019
Last Update: March 16, 2023
Sole Proprietor: No

Mailing Address

300 International Parkway Suite 200

Lake Mary, FL 327465028

Phone: 8666100580

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.