Samari Ballantyne
Individual provider Active NPI Behavior Technician · Dade City, FL
NPI 1043025869 · NPPES record last updated Feb 10, 2025
Key facts
- NPI
- 1043025869
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 12880 US 301
Dade City, FL 33525-5801 - Phone
- (352) 584-2627
- NPI assigned
- Feb 10, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
12880 US 301
Dade City, FL 33525-5801
Mailing address
12880 US 301
Dade City, FL 33525-5801
Other providers in Dade City, FL
- Avec Therapy Services LLC
- Lieinys Badillo Cintra
- Vicky Jane Bahmann
- Katrina Rose Bailey
- Rosario Bala
- Stefanie Baptiste
- Froilan Barinas
- James Bryan Bartlett
- Christopher Bates
- Andrea Batha
All providers in Dade City, FL · Behavior Technician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.