Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013554161 Individual Practitioner Female Practitioner

Samantha C Gandolfo

Behavior Technician • Coram, NY

Professional Overview & Biography Verified Profile Summary

Samantha Gandolfo is a registered healthcare professional specializing in Behavior Technician in Coram, NY. Practice services are available at 1 CORPINE LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1 Corpine Ln

Coram, NY 117272603

Telephone 6318092153

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Coram, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 2.7 Yrs
Regional Practice Density
3 Specialists

Practicing in Coram, NY (4564 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: 2019-12-09
Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 09, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location December 09, 2019

Registered at 1 CORPINE LN, CORAM, NY 117272603 (Tel: 6318092153)

📍
Updated Business Mailing Address December 09, 2019

Registered at 1 CORPINE LN, CORAM, NY 117272603 (Tel: 6318092153)

👤
Provider Name / Credentials Updated December 09, 2019

Recorded as SAMANTHA GANDOLFO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2019

Behavior Technician

🟢
Initial NPI Registration & Enumeration December 09, 2019

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: 1013554161
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 09, 2019
Last Update: December 09, 2019
Sole Proprietor: No

Mailing Address

1 Corpine Ln

Coram, NY 117272603

Phone: 6318092153

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.