Samantha Needham, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-19-35092

Practice address

3130 Chatham Rd Ste a
Springfield, IL 62704

Phone

(847) 807-3717

NPI assigned

Feb 7, 2018

Last updated

Apr 1, 2022By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Speech Tree Associates, LLC

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  • Springfield, IL
  • NPI 1578794558

  Behavior Analyst

  NPD
• Autism Home Support Services, Inc

  • Behavior Analyst
  • Northbrook, IL
  • NPI 1770818841
  NPD (past)

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

{
    "created_epoch": "1517961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1447759279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 REVERE DR STE 120",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600628005",
            "telephone_number": "847-807-3717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 CHATHAM RD STE A",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "62704",
            "telephone_number": "847-807-3717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEEDHAM",
        "first_name": "SAMANTHA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-07",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-19-35092",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Springfield",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3130 Chatham Rd Ste A",
            "city": "Springfield",
            "state": "IL",
            "country_code": "US",
            "postal_code": "62704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tameya Neal
• Angela Neale, LCSW
• Neck to Back Springfield LLC
• Cody Derek Needham, DC
• Lacy Needham
• Cassidy Neely, LCPC
• Cecily Negri, MD
• Mary Ann Neiers, CCC-SLP
• Swapna Nekkanti, M.D
• Beth A Nelson, PTA

• Behavior Analyst in Springfield, IL
• Providers in Springfield, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.