Individual provider · Type 1 NPI

Samantha Blackwell, BCBA

Behavior Analyst · Elmhurst, IL

NPI number 1083119788 Active

Practice location

650 W Grand Ave Ste 270
Elmhurst, IL 60126-1043

Mailing address

182 Goldeneye Ln
Bloomingdale, IL 60108-5404

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst 103K00000X1-17-29693
Behavior Analyst Primary 103K00000X1-18-29693

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1083119788

Samantha Blackwell, BCBA's National Provider Identifier is 1083119788, issued on Mar 26, 2018. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Elmhurst, IL. The record was last updated on May 4, 2018.