Samantha Dean Vittorio, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-24-76682 Issued in IN

Practice address

484 Williamson Rd # 102
Mooresville, NC 28117-8191

Phone

(475) 289-5336

NPI assigned

Oct 21, 2024

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

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1841011020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2369 BEAM RD",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472033404",
            "telephone_number": "812-900-5463",
            "fax_number": "855-919-4295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 WILLIAMSON RD # 102",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178191",
            "telephone_number": "475-289-5336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITTORIO",
        "first_name": "SAMANTHA",
        "middle_name": "DEAN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-21",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IN",
            "license": "1-24-76682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; 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.