Samantha Anderson

Individual provider Active NPI Behavior Analyst · Buffalo Grove, IL

NPI 1447950779 · NPPES record last updated Mar 6, 2023

Key facts

NPI
1447950779
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
1-23-64489 (IL)
Practice address
160 Lexington Dr
Buffalo Grove, IL 60089-6929
Phone
(224) 676-0202
NPI assigned
Mar 6, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-23-64489 IL Yes

Addresses

Primary practice location

160 Lexington Dr
Buffalo Grove, IL 60089-6929

Mailing address

3647 N Nottingham Ave
Chicago, IL 60634-2243
Phone (773) 677-6726

Other providers in Buffalo Grove, IL

All providers in Buffalo Grove, IL · Behavior Analyst in Illinois

Sources for this page

Verify at the official NPI Registry.