Samantha Burke
Individual provider Active NPI Behavior Analyst · Southington, CT
NPI 1134872104 · NPPES record last updated Mar 3, 2025
Key facts
- NPI
- 1134872104
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-25-79326 (CT)
- Practice address
- 805 W Queen St
Southington, CT 06489-1032 - Phone
- (860) 860-5663
- NPI assigned
- Jan 31, 2022
- 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 | |||
| Behavior Analyst | 103K00000X | 1-25-79326 | CT | Yes |
Addresses
Primary practice location
805 W Queen St
Southington, CT 06489-1032
Mailing address
805 W Queen St
Southington, CT 06489-1032
Phone (860) 863-5663
Other providers in Southington, CT
- Curtland Chester Brown III
- Mark Thomas Bugnacki
- Rachel Ann McKenzie Bulinski
- Hayden Burbank
- Jeana Lee Burke
- Kimberly Burns
- Peter David Byeff
- Brian J Byrne
- Joan D. Cahill
- Calming Minds Behavioral Health LLC
All providers in Southington, CT · Behavior Analyst in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 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.