Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack Ethan Samath

Individual provider Behavior Analyst · NPI 1346855053

Jack Ethan Samath is a Behavior Analyst in Los Angeles, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020

Practice location Address checks out

8616 La Tijera Blvd
Los Angeles, CA 90045-3944
Phone: (805) 490-6006
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-24-75204 (CA)

Record details

NPI number1346855053
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 10, 2020
Last updated in NPPESSeptember 27, 2024
Certification dateSeptember 27, 2024

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