Active NPI
Samantha King, BCBA
- Behavior Analyst
- Greenwood, IN
National Provider Identifier
1457075848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-22-61666
- Practice address
- 601 Library Park Dr Ste a-1
Greenwood, IN 46142-1562 - Phone
- (317) 881-9923
- NPI assigned
- Sep 28, 2022
- 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 | 1-22-61666 | IN | Primary |
Addresses
Primary practice location
601 Library Park Dr Ste a-1
Greenwood, IN 46142-1562
Mailing address
204 Whiteland Rd
Whiteland, IN 46184-1424
Phone (317) 607-1028
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664323200000",
"number": "1457075848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 WHITELAND RD",
"city": "WHITELAND",
"state": "IN",
"postal_code": "461841424",
"telephone_number": "317-607-1028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 LIBRARY PARK DR STE A-1",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461421562",
"telephone_number": "317-881-9923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "SAMANTHA",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-28",
"last_updated": "2022-09-28",
"certification_date": "2022-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IN",
"license": "1-22-61666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenwood, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.