Samantha Michael Shelby, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-18-59171 Issued in IL

Practice address

9414 S Claremont Ave
Chicago, IL 60643-6745

Phone

(773) 241-4239

NPI assigned

Jul 11, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1531267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531267200000",
    "number": "1508342726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9414 S CLAREMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606436745",
            "telephone_number": "773-241-4239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9414 S CLAREMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606436745",
            "telephone_number": "773-241-4239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELBY",
        "first_name": "SAMANTHA",
        "middle_name": "MICHAEL",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-11",
        "last_updated": "2018-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IL",
            "license": "RBT-18-59171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anjali Shekar, M.D.
• Ketan K Sheladia, O.D.
• Aquila Shelby, APRN-FNP-C
• Diane C Shelby, M.ED.
• Robert Dennis Shelby, LCSW
• Sarah Shelby, PHD
• Sheldon D Schwartz MD SC (Sheldon Dewey Schwartz MD)
• Sheldon L Edelson MD SC
• Sheldon S. Greenberg, M.D., S.C.
• Brooke Sheldon

• Behavior Technician in Chicago, IL
• Providers in Chicago, IL by specialty
• Behavior Technician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; 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.