Samantha Chesney, BCBA
Individual provider Active NPI Behavior Analyst · Streetsboro, OH
NPI 1689171001 · NPPES record last updated Apr 11, 2018
Key facts
- NPI
- 1689171001
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 899 Frost Rd
Streetsboro, OH 44241-4355 - Phone
- (330) 963-8600
- NPI assigned
- Apr 11, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidslink Connect, LLC | Behavior Analyst | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
899 Frost Rd
Streetsboro, OH 44241-4355
Mailing address
899 Frost Rd
Streetsboro, OH 44241-4355
Phone (330) 963-8600
Other providers in Streetsboro, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.