Samantha Stevens

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-20-114746 Issued in IN

Practice address

315 Washington St
Columbus, IN 47201-6743

Phone

(812) 413-9321

Fax

(812) 413-9323

NPI assigned

Nov 10, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Imprint Pediatric Therapy LLC.

  • Behavior Analyst
  • Nashville, IN
  • NPI 1902371396
  NPD (past)

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1346906708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 WASHINGTON ST",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472016743",
            "telephone_number": "812-413-9321",
            "fax_number": "812-413-9323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 WASHINGTON ST",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472016743",
            "telephone_number": "812-413-9321",
            "fax_number": "812-413-9323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 Sandcrest Blvd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "IN",
            "postal_code": "472033053",
            "country_code": "US",
            "telephone_number": "812-413-9321",
            "fax_number": "812-413-9323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-10",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IN",
            "license": "RBT-20-114746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Steuver, OTR
• Alexia Stevens
• Ariana Stevens
• Christopher E Stevens, M.D.
• Jennifer Jo Stevens, M.A. CCC-SLP
• Cheyenne Nicole Stickels
• Lilian Stidham, RBT
• Jayley Stillabower
• Kaydence Stockelman
• Emma Stockrahm Berti

• Behavior Technician in Columbus, IN
• Providers in Columbus, IN by specialty
• Behavior Technician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.