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Jeannine Sam, BCBA
Specialist in Danbury, Connecticut
NPI 1790197176

Jeannine Sam is a Specialist based in Danbury, CT. Jeannine Sam practices in Danbury, CT and has the professional credentials of BCBA. The NPI Number for Jeannine Sam is 1790197176 and holds a License No. 1-14-15457 (Connecticut).

The current practice location address for Jeannine Sam is 16 Blackberry Rd, Danbury, CT and can be reached out via phone at 203-312-3974.

Location: 16 Blackberry Rd, Danbury, CT, 06811-3815
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790197176
Provider Name
Jeannine Sam
Credential
BCBA
Provider Entity Type
Individual
Gender
Female
Address
16 Blackberry Rd, Danbury, CT, 06811-3815
Phone Number
203-312-3974
Fax Number
Provider Enumeration Date
05/20/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
16 Blackberry Rd
City
Danbury
State
Connecticut
Zip
06811-3815
Phone Number
203-312-3974
Fax Number
person
Provider Business Mailing Address Details
Address
16 Blackberry Rd
City
Danbury
State
Connecticut
Zip
06811-3815
Phone Number
203-312-3974
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Behavior Analyst
Speciality
-
Taxonomy
103K00000X
License No.
1139409 (New York)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
1-14-15457 ()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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