Individual provider Active NPI

Samantha Jo Parker, M.S., RBT

  • Behavior Technician
  • Columbia, KY
National Provider Identifier
1194434357
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
312 Hurt St
Unit C
Columbia, KY 42728-2311
Phone
(270) 250-5070
NPI assigned
Nov 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary
Behavior Analyst 103K00000X KY

Addresses

Primary practice location

312 Hurt St
Unit C
Columbia, KY 42728-2311

Mailing address

203 Burkesville St Ste 101
Columbia, KY 42728-1900
Phone (270) 250-5070

Other practice location 1

220 Office Park Dr Unit C
Columbia, KY 42728-1381
Phone (270) 250-5070

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gracie Behavior Associates, LLC Behavior Technician CurrentSince Jan 1, 2023 Accepting new patients

Locations

312 Hurt St
Unit C
Columbia, KY 42728
Phone (270) 250-5070

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1194434357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 BURKESVILLE ST STE 101",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427281900",
            "telephone_number": "270-250-5070",
            "fax_number": "270-380-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 HURT ST",
            "address_2": "UNIT C",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427282311",
            "telephone_number": "270-250-5070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Office Park Dr Unit C",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "KY",
            "postal_code": "427281381",
            "country_code": "US",
            "telephone_number": "270-250-5070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "SAMANTHA",
        "middle_name": "JO",
        "credential": "M.S., RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-16",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.