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Active NPI 1881268530 Individual Practitioner Female Practitioner

Samara Shore

Behavior Analyst • San Bruno, CA

Professional Overview & Biography Verified Profile Summary

Samara Shore is a registered healthcare professional specializing in Behavior Analyst in San Bruno, CA. Practice services are available at 1001 SNEATH LN STE 200 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1001 Sneath Ln Ste 200

San Bruno, CA 940662349

Telephone 9163824447

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in San Bruno, CA

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

Practicing in San Bruno, 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: 2025-04-03
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License TN 1815

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

40 Associated Practitioners
Jessica Hiscott

Behavior Technician

NPI 1013588813
Cassidy Dick

Behavior Technician

NPI 1023708898
Raeonna Ponce Gonzales

Behavior Technician

NPI 1033677364
NPI 1043713035

Bachelor of Arts, Master of Science, Board Certified Behavior Analyst

Alina Kirichuk

Behavior Analyst

NPI 1043770787
Adriel Rodriguez Soto

Behavior Technician

NPI 1043871510

Career & Practice History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2025

Behavior Analyst (License #1815 in TN)

NPI Profile Active May 18, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location May 18, 2021

Registered at 1001 SNEATH LN STE 200, SAN BRUNO, CA 940662349 (Tel: 9163824447)

📍
Updated Business Mailing Address May 18, 2021

Registered at 2129 E 6TH ST, LONG BEACH, CA 908141010 (Tel: 7149162559)

👤
Provider Name / Credentials Updated May 18, 2021

Recorded as SAMARA SHORE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 18, 2021

Behavior Technician

🟢
Initial NPI Registration & Enumeration May 18, 2021

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: 1881268530
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 18, 2021
Last Update: April 03, 2025
Sole Proprietor: Yes

Mailing Address

2129 E 6th St

Long Beach, CA 908141010

Phone: 7149162559

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.