Samantha Raeanna Buck

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-21-155526 Issued in AZ

Practice address

5656 S Power Rd Ste 115
Gilbert, AZ 85295-8480

Phone

(480) 773-4511

NPI assigned

Dec 14, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644019200000",
    "number": "1437745429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10969 W LOMA LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853450403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5656 S POWER RD STE 115",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852958480",
            "telephone_number": "480-773-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCK",
        "first_name": "SAMANTHA",
        "middle_name": "RAEANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-14",
        "last_updated": "2022-02-05",
        "certification_date": "2022-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "AZ",
            "license": "RBT-21-155526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Daniel Bryce, M.D.
• Laura Bublitz, RBT
• Lokeswari Bucchireddigari
• Amanda Kaelynn Buchanan, LMSW
• McKenzie Buck-Friis
• Christopher James Buhl, PHARMD
• Dorothy Bui, OD
• Building Blocks Counseling,LLC
• Building Bridges Collective, LLC
• Building Resilience Az

• Behavior Technician in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Behavior Technician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2022; 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.