Active NPI
Samantha Butler, M.A., BCBA
- Behavior Analyst
- Palatine, IL
National Provider Identifier
1437580560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 11314287
- Practice address
- 865 E Wilmette Rd
Suite G
Palatine, IL 60074-6493 - Phone
- (224) 210-0669
- NPI assigned
- Nov 27, 2013
- Sex
- Female
- Sole proprietor
- No
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 Analyst | 103K00000X | 11314287 | IL | Primary |
Addresses
Primary practice location
865 E Wilmette Rd
Suite G
Palatine, IL 60074-6493
Mailing address
865 E Wilmette Rd
Suite G
Palatine, IL 60074-6493
Phone (224) 210-0669
Other names 1
- Samantha Dundee
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11314287 | IL | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385510400000",
"number": "1437580560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "865 E WILMETTE RD",
"address_2": "SUITE G",
"city": "PALATINE",
"state": "IL",
"postal_code": "600746493",
"telephone_number": "224-210-0669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "865 E WILMETTE RD",
"address_2": "SUITE G",
"city": "PALATINE",
"state": "IL",
"postal_code": "600746493",
"telephone_number": "224-210-0669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "SAMANTHA",
"credential": "M.A., BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-27",
"last_updated": "2013-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IL",
"license": "11314287",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SAMANTHA",
"last_name": "DUNDEE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Palatine, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.