Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1932494754 Individual Practitioner Female Practitioner

Samantha Lee Broderick , BCBA

Behavior Analyst • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Samantha Broderick, BCBA is a registered healthcare professional specializing in Behavior Analyst in Jacksonville, FL. Practice services are available at 6820 SOUTHPOINT PKWY STE 9 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6820 Southpoint Pkwy Ste 9

Jacksonville, FL 322166277

Telephone 8887540398
Fax 9548665513
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Jacksonville, FL

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

Practicing in Jacksonville, 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: 2026-02-03
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License FL 1-16-23336

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
Vanessa Alvarez

Behavior Technician

NPI 1003408204
Darla Francois

Behavior Technician

NPI 1003531559
Timothy Stewart

Behavior Technician

NPI 1003545419
Jessica Rogers

Behavior Analyst

NPI 1003553157
Virginia Buentello

Behavior Technician

NPI 1003591272
Waldrina Etheridge

Behavior Technician

NPI 1003623448

Career & Practice History Timeline

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

20 Historical Events
📍
Updated Practice Location February 03, 2026

Registered at 6820 SOUTHPOINT PKWY STE 9, JACKSONVILLE, FL 322166277 (Tel: 8887540398)

📍
Updated Business Mailing Address February 03, 2026

Registered at 6820 SOUTHPOINT PKWY STE 9, JACKSONVILLE, FL 322166277 (Tel: 8887540398)

📍
Updated Practice Location October 21, 2025

Registered at 1110 13TH ST STE D, COLUMBUS, GA 319012246 (Tel: 7067801704)

📍
Updated Business Mailing Address October 21, 2025

Registered at 12276 SAN JOSE BLVD STE 214, JACKSONVILLE, FL 322238633 (Tel: 7067801704)

👤
Provider Name / Credentials Updated October 21, 2025

Recorded as SAMANTHA BRODERICK, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 21, 2025

Behavior Analyst (License #1-16-23336 in FL)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 14, 2025

Behavior Analyst

📍
Updated Practice Location November 04, 2022

Registered at 7108 S KANNER HWY, STUART, FL 349977462 (Tel: 8558326727)

📍
Updated Business Mailing Address November 04, 2022

Registered at 7108 S KANNER HWY, STUART, FL 349977462 (Tel: 8558326727)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 04, 2022

Behavior Analyst (License #1-16-23336 in FL)

👤
Provider Name / Credentials Updated December 18, 2019

Recorded as SAMANTHA BRODERICK, BCABA

📍
Updated Practice Location March 12, 2019

Registered at 3217 S MACDILL AVE STE 101, TAMPA, FL 336291719 (Tel: 8132847941)

👤
Provider Name / Credentials Updated March 12, 2019

Recorded as SAMANTHA HARTZ, BCABA

📍
Updated Business Mailing Address September 18, 2018

Registered at 1321 MURFRESBORO PIKE STE 702, NASHVILLE, TN 372172679 (Tel: 6156952277)

NPI Profile Active June 02, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 02, 2015

Registered at 6951 PISTOL RANGE RD, SUITE 101, TAMPA, FL 336359601 (Tel: 8138142000)

📍
Updated Business Mailing Address June 02, 2015

Registered at 14721 LONGVIEW DR, APARTMENT 303, TAMPA, FL 336252458 (Tel: 9417351635)

👤
Provider Name / Credentials Updated June 02, 2015

Recorded as SAMANTHA BRODERICK, BCABA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2015

Behavior Analyst

🟢
Initial NPI Registration & Enumeration June 09, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1932494754
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 09, 2011
Last Update: February 03, 2026
Sole Proprietor: Yes

Mailing Address

6820 Southpoint Pkwy Ste 9

Jacksonville, FL 322166277

Phone: 8887540398

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.