Healthcare Provider Details

I. General information

NPI: 1134755622
Provider Name (Legal Business Name): SAMANTHA CALDONA MS, BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2020
Last Update Date: 06/09/2025
Certification Date: 06/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 HARWOOD CT STE 415
SCARSDALE NY
10583-4120
US

IV. Provider business mailing address

142 GARTH RD APT TL
SCARSDALE NY
10583-3720
US

V. Phone/Fax

Practice location:
  • Phone: 888-805-0759
  • Fax:
Mailing address:
  • Phone: 646-260-2953
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number003458
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number00012052
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: