Samantha Shockley, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

240452 Issued in KY

Practice address

800 Stone Creek Pkwy Ste 7
Louisville, KY 40223-5366

Phone

(502) 423-0332

Fax

(502) 423-0337

NPI assigned

Mar 12, 2018

Last updated

Feb 7, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  • NPI 1922336924
  NPD (past)
• Clinical Behavior Analysis

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  • Louisville, KY
  • NPI 1821543141
  NPD (past)
• Heartfelt Solutions, PLLC

  • Behavior Analyst
  • Louisville, KY
  • NPI 1376818815
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1720581150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W WOODLAWN AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402152472",
            "telephone_number": "502-409-7181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 STONE CREEK PKWY STE 7",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235366",
            "telephone_number": "502-423-0332",
            "fax_number": "502-423-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOCKLEY",
        "first_name": "SAMANTHA",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-12",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "240452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsi Shivel
• Shively Chiropractic, LLC
• Shively First Health Care, LLC
• Steven Richard Shlonsky, DPM
• Sean M Shockey, MD
• Sierra Shockley
• Ahmed Shoeib, RPH
• April Dawn Shoemaker, BSW
• Donald R Shoemaker, M.D.
• Hugh Wesley Shoff, M.D., M.S.

• Behavior Analyst in Louisville, KY
• Providers in Louisville, KY by specialty
• Behavior Analyst in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.