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Shea Sample , BCBA

Behavior Analyst β€’ Media, PA

Active NPI 1477149995 Individual Practitioner Female Practitioner
Practice location in NPPES

77 W Baltimore Pike Ste 100b
Media, PA 190635639

Call 6109570143 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

77 W Baltimore Pike Ste 100b

Media, PA 190635639

Telephone 6109570143
Organization at the Same NPPES Address or Phone
Beyond Autism Services Llc Facility NPI 1275118077

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

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Paoli, PA; West Chester, PA. 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

2020

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 Media and Pennsylvania

57 active clinicians are listed under Behavior Analyst with a practice address in Media, PA (3,774 in Pennsylvania).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Media

0% of these 57 clinicians have the CMS telehealth indicator.

0% of these 57 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: 2025-02-03
Behavior Analyst Primary Specialty

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.

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: Pennsylvania Department of State Licensing.
Look Up on State Board Site

Secondary Practice Locations

209 W Lancaster Ave

Paoli, PA 193011749

Phone: 4849659966

1646 W Chester Pike Ste 4

West Chester, PA 193827979

Phone: 6109570143

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Madison Delong

Occupational Therapist

NPI 1619701232

Career & Practice History Timeline

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

8 Historical Events
πŸ“
Updated Practice Location February 03, 2025

Registered at 77 W BALTIMORE PIKE STE 100B, MEDIA, PA 190635639 (Tel: 6109570143)

πŸ“
Updated Business Mailing Address February 03, 2025

Registered at 77 W BALTIMORE PIKE STE 100B, MEDIA, PA 190635639 (Tel: 4849659966)

βœ…
NPI Profile Active December 18, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 18, 2020

Registered at 209 W LANCASTER AVE, PAOLI, PA 193011749 (Tel: 4849659966)

πŸ“
Business Mailing Address (Initial Record) December 18, 2020

Registered at 209 W LANCASTER AVE, PAOLI, PA 193011749 (Tel: 4849659966)

πŸ‘€
Provider Name / Credentials (Initial Record) December 18, 2020

Recorded as SHEA SAMPLE, BCBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 18, 2020

Behavior Analyst

🟒
Initial NPI Registration & Enumeration December 18, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1477149995
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 18, 2020
Last Update: February 03, 2025
Sole Proprietor: No

Mailing Address

77 W Baltimore Pike Ste 100b

Media, PA 190635639

Phone: 4849659966

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.