Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1346855053 Individual Practitioner Male Practitioner

Jack Ethan Samath

Behavior Analyst • Los Angeles, CA

Professional Overview & Biography Verified Profile Summary

Jack Samath is a registered healthcare professional specializing in Behavior Analyst in Los Angeles, CA. Practice services are available at 8616 LA TIJERA BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8616 La Tijera Blvd

Los Angeles, CA 900453944

Telephone 8054906006
Associated Practice Facility / Clinic
🏢 Five Star Home Health, Inc. Facility NPI 1124023494

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Los Angeles, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.8 Yrs
Regional Practice Density
543 Specialists

Practicing in Los Angeles, CA (20508 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-09-27
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License CA 1-24-75204

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1275945453

Doctor of Philosophy (Ph.D.), Board Certified Behavior Analyst - Doctoral

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location September 27, 2024

Registered at 8616 LA TIJERA BLVD, LOS ANGELES, CA 900453944 (Tel: 8054906006)

📍
Updated Business Mailing Address September 27, 2024

Registered at 237 6TH AVE, VENICE, CA 902912601 (Tel: 4083864147)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 27, 2024

Behavior Analyst (License #1-24-75204 in CA)

NPI Profile Active September 10, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location September 10, 2020

Registered at 9535 OAKLEY LN, RENO, NV 895216101 (Tel: 7758437574)

📍
Updated Business Mailing Address September 10, 2020

Registered at 14720 VICKERY PL, SARATOGA, CA 950706038 (Tel: 4083864147)

👤
Provider Name / Credentials Updated September 10, 2020

Recorded as JACK SAMATH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2020

Behavior Technician

🟢
Initial NPI Registration & Enumeration September 10, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1346855053
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 10, 2020
Last Update: September 27, 2024
Sole Proprietor: No

Mailing Address

237 6th Ave

Venice, CA 902912601

Phone: 4083864147

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.