Samantha Shay Whitfield, RBT

Individual provider Active NPI Behavior Technician · Brownsboro, AL

NPI 1104699065 · NPPES record last updated Nov 2, 2023

Key facts

NPI
1104699065
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
5767 Cove Commons Dr
Brownsboro, AL 35741-9744
Phone
(217) 525-8332
NPI assigned
Nov 2, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Clinical Care Past
since Nov 5, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

5767 Cove Commons Dr
Brownsboro, AL 35741-9744

Mailing address

5220 6TH Street Frontage Rd E Ste 1700
Springfield, IL 62703-5771
Phone (217) 525-8332

Other providers in Brownsboro, AL

All providers in Brownsboro, AL · Behavior Technician in Alabama

Sources for this page

Verify at the official NPI Registry.