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

Jeannine Sam, BCBA

Individual provider Behavior Analyst · NPI 1790197176

Jeannine Sam, BCBA is a Behavior Analyst in Danbury, Connecticut. Licensed in New York. Registered with an NPI since 2014.

Licensed in
NY
In the registry since
2014
Specialties on file
2
What do these letters mean?
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

16 Blackberry Rd
Danbury, CT 06811-3815
Phone: (203) 312-3974
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-14-15457
Specialist Taxonomy 174400000X · Licence 1139409 (NY)

Record details

NPI number1790197176
Entity typeIndividual (Type 1)
GenderFemale
Credentials BCBA
Sole proprietorNo
NPI enumeratedMay 20, 2014
Last updated in NPPESMay 20, 2014
Mailing address16 Blackberry Rd, Danbury, CT 06811-3815

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