Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720610793 Individual Practitioner Female Practitioner

Jackeline Samayoa , BCBA

Behavior Analyst • Beaverton, OR

Professional Overview & Biography Verified Profile Summary

Jackeline Samayoa, BCBA is a registered healthcare professional specializing in Behavior Analyst in Beaverton, OR. Practice services are available at 1800 NW 167TH PL STE 115 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1800 Nw 167th Pl Ste 115

Beaverton, OR 970064846

Telephone 5032788268

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Beaverton, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 5.0 Yrs
Regional Practice Density
127 Specialists

Practicing in Beaverton, OR (1444 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: 2025-03-05
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License OR 10251304

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.

Behavior Analyst

NUCC Taxonomy Code: 103K00000X

State License CA 1-21-52209

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

30 Associated Practitioners
Kristin Fall

Behavior Technician

NPI 1003423245
NPI 1073218657

BEHAVIORANALYST

Hannah Tye

Behavior Technician

NPI 1144836602
NPI 1164102109

Master of Arts, Board Certified Behavior Analyst

Katie Hunter

Behavior Analyst

NPI 1174126742
Elisabeth Payack , BCBA

Behavior Analyst

NPI 1194534917

Board Certified Behavior Analyst

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location March 05, 2025

Registered at 1800 NW 167TH PL STE 115, BEAVERTON, OR 970064846 (Tel: 5032788268)

📍
Updated Business Mailing Address March 05, 2025

Registered at 1800 NW 167TH PL STE 115, BEAVERTON, OR 970064846

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2025

Behavior Analyst (License #1-21-52209 in CA)

👤
Provider Name / Credentials Updated October 31, 2024

Recorded as JACKELINE SAMAYOA, BCBA

NPI Profile Active February 07, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location February 07, 2020

Registered at 19019 VENTURA BLVD, TARZANA, CA 913563253 (Tel: 8185018352)

📍
Updated Business Mailing Address February 07, 2020

Registered at 19019 VENTURA BLVD, TARZANA, CA 913563253 (Tel: 8185018352)

👤
Provider Name / Credentials Updated February 07, 2020

Recorded as JACKELINE SAMAYOA, QASP-S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2020

Case Manager/Care Coordinator (License #10325 in CA)

🟢
Initial NPI Registration & Enumeration February 07, 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: 1720610793
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 07, 2020
Last Update: March 05, 2025
Sole Proprietor: No

Mailing Address

1800 Nw 167th Pl Ste 115

Beaverton, OR 970064846

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.