MEDICARE: JACOB ANTHONY SAMANIEGO BCBA, LBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	1-23-64834	TX

General Provider Information

NPI Number	:	1205330925
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACOB ANTHONY SAMANIEGO BCBA, LBA

Provider Business Mailing Address
First Line	:	1351 N ZARAGOZA RD BLDG H
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79936-7902
Country	:	US
Telephone Number	:	915-257-5782
Fax Number	:

Provider Business Practice Location Address
First Line	:	1351 N ZARAGOZA RD BLDG H
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79936-7902
Country	:	US
Telephone Number	:	915-257-5782
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2018
Last Update Date	:	10/03/2023

Similar Medicare Providers

1649122193 — JERUSALEN MURILLO SLP-ASSISTANT
Practice Location Address:

1351 N ZARAGOZA RD BLDG H
EL PASO, TX
79936-7902

Practice Phone: 915-257-5782
Practice Fax:

1609802578 — HANGER PROSTHETICS & ORTHOTICS INC
Practice Location Address:

1351 N ZARAGOZA RD BLDG K
EL PASO, TX
79936-7902

Practice Phone: 915-599-8883
Practice Fax: 915-599-8885

1376757609 — SHARIQ SATTAR MD
Practice Location Address:

1351 N ZARAGOZA RD BLDG F
EL PASO, TX
79936-7902

Practice Phone: 915-202-4469
Practice Fax:

1518471598 — ASHLEY MARIE VALDEZ
Practice Location Address:

1351 N ZARAGOZA RD BLDG H
EL PASO, TX
79936-7902

Practice Phone: 915-257-5782
Practice Fax:

1790333516 — C CARE CARDIOVASCULAR CENTER
Practice Location Address:

1351 N ZARAGOZA RD BLDG L
EL PASO, TX
79936-7902

Practice Phone: 915-500-4420
Practice Fax:

1245803923 — DIANA LOPEZ
Practice Location Address:

1351 N ZARAGOZA RD BLDG H
EL PASO, TX
79936-7902

Practice Phone: 915-257-5782
Practice Fax:

Directions to “ JACOB ANTHONY SAMANIEGO BCBA, LBA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.