Individual provider · Type 1 NPI

Samantha Kimmerer, BCABA, LABA

Assistant Behavior Analyst · Okemos, MI

NPI number 1568078004 Active

Practice location

2549 Jolly Rd Ste 380
Okemos, MI 48864-3680

Mailing address

1500 S Douglas Rd Ste 230
Coral Gables, FL 33134-4108

Specialties and licenses

TaxonomyCodeLicense
Assistant Behavior Analyst 106E00000X0-22-13745 (MI)
Behavior Technician 106S00000XNone listed
Assistant Behavior Analyst Primary 106E00000X7402000149 (MI)

Assistant Behavior Analyst: An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws …

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About NPI 1568078004

Samantha Kimmerer, BCABA, LABA's National Provider Identifier is 1568078004, issued on Sep 21, 2020. The primary taxonomy on file is Assistant Behavior Analyst (106E00000X), and the practice location is in Okemos, MI. The record was last updated on Nov 13, 2024.