IndividualActive
Samantha Bolanos
NPI 1205481587 · Behavior Technician · Costa Mesa, CA
Samantha Bolanos is a Behavior Technician provider in Costa Mesa, CA (NPI 1205481587).
Provider details
- NPI number
- 1205481587
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3303 Harbor Blvd Ste B8
Costa Mesa, CA 92626-1517
Phone: (714) 786-6069
Fax: (714) 834-9822
Street-level locationGet directions
Mailing address
2901 W 1st St Spc 34
Santa Ana, CA 92703-4155
Registry dates
- Enumerated
- 2019-08-05
- Last updated
- 2019-08-05
Frequently asked questions
- What is Samantha Bolanos's NPI number?
- Samantha Bolanos's National Provider Identifier (NPI) is 1205481587, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samantha Bolanos's specialty?
- Samantha Bolanos is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Samantha Bolanos located?
- Samantha Bolanos's practice location on file with NPPES is 3303 Harbor Blvd Ste B8, Costa Mesa, CA 92626-1517.
- What is Samantha Bolanos's phone number?
- The practice phone number listed in the NPPES registry for Samantha Bolanos is (714) 786-6069.
- Is Samantha Bolanos's NPI active?
- Yes — Samantha Bolanos's NPI (1205481587) is active in the NPPES registry as of the last update on 2019-08-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.