NPI 1215419833 · live from the CMS NPI Registry
Samantha Dove
Behavior Analyst in Cheyenne, WY. National Provider Identifier 1215419833, active.
NPI record
| NPI | 1215419833 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 1704 Westland Rd, Cheyenne, WY 82001 |
| Practice phone | 307-222-2400 |
| Mailing address | 2804 E. 26th Street, Suite 1, Sioux Falls, SD 57103 |
| Enumerated | August 30, 2018 |
| Last updated | November 19, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assistant Behavior Analyst | 106E00000X | RBT-18-64091 (CO) |
| Behavior Technician | 106S00000X | — |
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.