Individual provider · Type 1 NPI

Samantha J. Pannenborg

Behavior Technician · Milton, MA

NPI number 1376497792 Active

Practice location

2 Granite Ave
Milton, MA 02186-4376

Mailing address

18726 S Western Ave
Gardena, CA 90248-3813

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 1376497792

Samantha J. Pannenborg's National Provider Identifier is 1376497792, issued on Feb 23, 2026. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Milton, MA. The record was last updated on Feb 23, 2026.