Samantha Crnokrak
Individual provider Active NPI Behavior Technician · Schererville, IN
NPI 1306338728 · NPPES record last updated Jun 1, 2018
Key facts
- NPI
- 1306338728
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- 16-23959 (IN)
- Practice address
- 1005 Spruce Dr
Schererville, IN 46375-1123 - Phone
- (219) 794-6509
- NPI assigned
- Jun 1, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16-23959 | IN | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 16-23959 | IN | Yes |
Addresses
Primary practice location
1005 Spruce Dr
Schererville, IN 46375-1123
Mailing address
1005 Spruce Dr
Schererville, IN 46375-1123
Phone (219) 794-6509
Other providers in Schererville, IN
- Compassionate Clinical Counseling
- Continuing Rehab Services, LLC
- Danielle Copak
- Patrick S Cosgrove
- Amy B Coy
- Crossroads Family Dental
- Crowder Family Chiropractic LLC
- James Crowder Jr.
- Kenna R Crowel
- Crown Radiology Associates
All providers in Schererville, IN · Behavior Technician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 1, 2018. 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.