Active NPI
Cheryl Samuels, RBT
- Behavior Technician
- Hoffman Estates, IL
National Provider Identifier
1386138097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 18-53471
- Practice address
- 4107 Victoria Dr
Hoffman Estates, IL 60192-1752 - Phone
- (847) 909-0493
- NPI assigned
- Jun 15, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 18-53471 | IL | Primary |
Addresses
Primary practice location
4107 Victoria Dr
Hoffman Estates, IL 60192-1752
Mailing address
4107 Victoria Dr
Hoffman Estates, IL 60192-1752
Phone (847) 909-0493
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18-53471 | IL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529020800000",
"number": "1386138097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4107 VICTORIA DR",
"city": "HOFFMAN ESTATES",
"state": "IL",
"postal_code": "601921752",
"telephone_number": "847-909-0493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4107 VICTORIA DR",
"city": "HOFFMAN ESTATES",
"state": "IL",
"postal_code": "601921752",
"telephone_number": "847-909-0493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMUELS",
"first_name": "CHERYL",
"credential": "RBT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-15",
"last_updated": "2018-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IL",
"license": "18-53471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hoffman Estates, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.