Individual provider Active NPI

Samantha Lynn Barrett, BCBA

  • Behavior Analyst
  • Naperville, IL
National Provider Identifier
1629527585
Registry record updated Jan 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
1804 Centre Point Cir Ste 102
Naperville, IL 60563-4849
Phone
(630) 955-1940
NPI assigned
Oct 3, 2016
Last updated
Jan 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

1804 Centre Point Cir Ste 102
Naperville, IL 60563-4849

Mailing address

717 Greenwood Dr
Wheaton, IL 60189-6234
Phone (630) 222-5774

Other practice location 1

2514 N Francisco Ave
2
Chicago, IL 60647-2612
Phone (630) 222-5774

Other practice location 2

301 Veterans Pkwy
New Lenox, IL 60451-2899
Phone (815) 485-4781

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": "1475452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548028800000",
    "number": "1629527585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 GREENWOOD DR",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601896234",
            "telephone_number": "630-222-5774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 CENTRE POINT CIR STE 102",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605634849",
            "telephone_number": "630-955-1940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2514 N Francisco Ave",
            "address_2": "2",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606472612",
            "country_code": "US",
            "telephone_number": "630-222-5774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Veterans Pkwy",
            "address_purpose": "LOCATION",
            "city": "New Lenox",
            "state": "IL",
            "postal_code": "604512899",
            "country_code": "US",
            "telephone_number": "815-485-4781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARRETT",
        "first_name": "SAMANTHA",
        "middle_name": "LYNN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-03",
        "last_updated": "2019-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2019; 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.