Individual provider · Type 1 NPI

Samantha Elizabeth Ellis, RBT

Behavior Technician · Riverview, FL

NPI number 1629809462 Active

Practice location

4015 Crescent Park Dr
Riverview, FL 33578-3605

Call (813) 492-8310 Map

Mailing address

2119 Delightful Dr
Ruskin, FL 33570-5825

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XRBT-24-369108 (IN)

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 1629809462

Samantha Elizabeth Ellis, RBT's National Provider Identifier is 1629809462, issued on Aug 13, 2024. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Riverview, FL. The record was last updated on Jul 10, 2026.