Individual provider · Type 1 NPI

Samantha Fountaine

Behavior Technician · Tumwater, WA

NPI number 1164220109 Active

Practice location

2584 R W Johnson Blvd SW Ste 100
Tumwater, WA 98512-6103

Mailing address

3231 Willamette Dr NE Ste A
Lacey, WA 98516-1378

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XNone listed

Behavior Technician: The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That…

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About NPI 1164220109

Samantha Fountaine's National Provider Identifier is 1164220109, issued on Mar 5, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Tumwater, WA. The record was last updated on Sep 23, 2025.