MS. SAMANTHA BLACKWELL


Address: 650 W Grand Ave Ste 270, Elmhurst, IL 60126-1043
Phone: 2442631613

MS. SAMANTHA BLACKWELL (NPI# 1083119788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083119788
Entity Type Individual
Full Name MS. SAMANTHA BLACKWELL
Credential BCBA
Practice Address 650 W Grand Ave Ste 270
Elmhurst
IL 60126-1043
Mailing Address 182 Goldeneye Ln
Bloomingdale
IL 60108-5404
Practice Telephone 2442631613
Enumeration Date 2018-03-26
Last Update Date 2018-05-04
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst 1-18-29693 Behavioral Health & Social Service Providers
N 103K00000X Behavioral Analyst 1-17-29693 Behavioral Health & Social Service Providers

Other Providers SAMANTHA BLACKWELL

NPI Name Taxonomy Address Enumeration
1821277112 Samantha Bella Blackwell Social Worker 17273 State Route 104, Mail Code 108cd, Chillicothe, OH 45601-8608 2007-11-02

Office Location

Street Address 650 W GRAND AVE STE 270
City ELMHURST
State IL
Zip Code 60126-1043

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154931434 Andrew D Chastain Physical Therapy Assistant 188 N. Industrial Drive, Suite 112, Elmhurst, IL 60126 2020-08-03
1407464472 Kevin M. Dunn Physical Therapy Assistant 188 N, Industrial Dr, Suite 112, Elmhurst, IL 60126 2020-07-16
1699236414 Rosario Garcia Nurse Practitioner 1200 York St, Elmhurst, IL 60126 2019-03-26
1003390857 Lauren M Gorski Physical Therapist 275 N. York Rd, Suite 300, Elmhurst, IL 60126 2018-09-18
1073041240 Kyle Patrick Harmon Dentist 127 W Vallette St, Elmhurst, IL 60126 2017-05-31
1083065031 Mariah Lynn Kyro Behavioral Analyst 650 W. Grand Avenue Suite 207, Elmhurst, IL 60126 2016-06-30
1841661261 Randi N. Rockell Nurse Practitioner 155 E. Brush Hill Rd., Elmhurst Memorial Hospital, Elmhurst, IL 60126 2015-10-12
1508254897 Soles Therapy Services Corp Speech-Language Pathologist 627 N York Street, Unit E, Elmhurst, IL 60126 2015-01-08
1629466560 Amy J Pawlik Physical Therapist 263 N. York Rd., Suite 200, Elmhurst, IL 60126 2014-12-30
1265771349 Ladawna Goering Nurse Practitioner 133 E Brush Hill, Suite 310, Elmhurst, IL 60126 2013-02-08
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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285258483 Comprehensive Behavior Development LLC Behavioral Analyst 956 S Prospect Ave, Elmhurst, IL 60126-5008 2020-06-03
1508492851 Shantal Teran Behavioral Analyst 5610 94th St Apt 5k, Elmhurst, NY 11373-5022 2020-03-19
1982138616 Michel T Paredes Behavioral Analyst 8423 55th Ave, Elmhurst, NY 11373-4802 2017-04-19
1245772300 Isidra B. Tuburan Behavioral Analyst 7911 41st Ave Apt C109, Elmhurst, NY 11373-1204 2016-11-07
1659723658 Joana Pangilinan Behavioral Analyst 8712 56th Ave, 1 Fl, Elmhurst, NY 11373-4832 2016-07-01
1083065031 Mariah Lynn Kyro Behavioral Analyst 650 W. Grand Avenue Suite 207, Elmhurst, IL 60126 2016-06-30
1124473582 Esra Ergin Behavioral Analyst 8830 51st Ave, Apt.2d, Elmhurst, NY 11373-3919 2016-05-03
1437510740 Sabina Miah Behavioral Analyst 8830 51st Ave Apt 1k, Elmhurst, NY 11373-3994 2016-03-14
1447617402 Fariya Kazi Behavioral Analyst 8508 56th Ave, Elmhurst, NY 11373-4828 2016-01-21
1821465873 Alessandra Messina Behavioral Analyst 1215 Degener Ave, Elmhurst, IL 60126-5401 2015-08-25
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Competitor

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City ELMHURST
Zip Code 60126

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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