Samantha Derose, BCBA - Counselor in Orange, CA

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Samantha Derose, BCBA is a Behavior Analyst based in Orange, California. Samantha Derose is licensed to practice in California (license number 1-17-29118) and her current practice location is 1815 E Heim Ave Ste 205, Orange, California. She can be reached at her office (for appointments etc.) via phone at (714) 640-6891.

NPI number for Samantha Derose is 1144633827 and her current mailing address is 1815 E Heim Ave Ste 205, Orange, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1144633827.

Contact Information

Samantha Derose, BCBA
1815 E Heim Ave Ste 205,
Orange, CA 92865-3016
(714) 640-6891
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameSamantha Derose
GenderFemale
SpecialityBehavior Analyst
Location1815 E Heim Ave Ste 205, Orange, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1144633827
  • Provider Enumeration Date: 06/10/2014
  • Last Update Date: 11/28/2023

Medical Identifiers

Medical identifiers for Samantha Derose such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144633827NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (NU)Secondary
103K00000XBehavior Analyst 1-17-29118 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Samantha Derose is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Samantha Derose, BCBA
1815 E Heim Ave Ste 205,
Orange, CA 92865-3016

Ph: (171) 640-6891		Samantha Derose, BCBA
1815 E Heim Ave Ste 205,
Orange, CA 92865-3016

Ph: (714) 640-6891

Reviews and Comments



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