Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679114920 Individual Practitioner Male Practitioner

Samuel Judd , BCBA

Behavior Analyst • Celebration, FL

Professional Overview & Biography Verified Profile Summary

Samuel Judd, BCBA is a registered healthcare professional specializing in Behavior Analyst in Celebration, FL. Practice services are available at 1170 CELEBRATION BLVD STE 104 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1170 Celebration Blvd Ste 104

Celebration, FL 347474604

Telephone 4076476555
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Celebration, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.6 Yrs
Regional Practice Density
12 Specialists

Practicing in Celebration, FL (13679 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: 2025-02-18
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License FL 1-24-71059

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.

Assistant Behavior Analyst

NUCC Taxonomy Code: 106E00000X

State License FL 0-23-14623

An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
102795100 (FL)
Commercial Insurance / Payer ID Bacb
1-24-71059

Practice Associates & Co-Workers

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

40 Associated Practitioners
Faith Labarge

Behavior Technician

NPI 1013784289
Hannah Grosser

Behavior Technician

NPI 1013791474
Jamaria Massey

Behavior Technician

NPI 1013899889
Raneesha Joiner Clark

Behavior Technician

NPI 1023833720
Skylar Anderson , RBT

Behavior Technician

NPI 1053966523

Registered Behavior Technician

Alexis Sanchez

Behavior Technician

NPI 1073328654

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location February 18, 2025

Registered at 1170 CELEBRATION BLVD STE 104, CELEBRATION, FL 347474604 (Tel: 4076476555)

📍
Updated Business Mailing Address February 18, 2025

Registered at 4620 N STATE ROAD 7 STE 300, LAUDERDALE LAKES, FL 333195867 (Tel: 3047075510)

👤
Provider Name / Credentials Updated February 05, 2024

Recorded as SAMUEL JUDD, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 05, 2024

Assistant Behavior Analyst (License #0-23-14623 in FL)

📍
Updated Practice Location October 10, 2023

Registered at 601 S LAKE DESTINY RD STE 350, MAITLAND, FL 327517222 (Tel: 4076476555)

📍
Updated Business Mailing Address October 10, 2023

Registered at 14714 VISTA DEL LAGO BLVD, WINTER GARDEN, FL 347878803 (Tel: 3047075510)

👤
Provider Name / Credentials Updated October 10, 2023

Recorded as SAMUEL JUDD, BCABA

NPI Profile Active October 07, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location October 07, 2019

Registered at 6416 NW 5TH WAY, FORT LAUDERDALE, FL 333096112 (Tel: 8887540398)

📍
Updated Business Mailing Address October 07, 2019

Registered at 11400 BANNER CT APT 1202, ORLANDO, FL 328219395 (Tel: 3042617175)

👤
Provider Name / Credentials Updated October 07, 2019

Recorded as SAMUEL JUDD, RBT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 07, 2019

Behavior Technician

🟢
Initial NPI Registration & Enumeration October 07, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1679114920
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 07, 2019
Last Update: February 18, 2025
Sole Proprietor: No

Mailing Address

4620 N State Road 7 Ste 300

Lauderdale Lakes, FL 333195867

Phone: 3047075510

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.