NPI 1447950779 · live from the CMS NPI Registry
Samantha Anderson
Behavior Analyst in Buffalo Grove, IL. National Provider Identifier 1447950779, active.
NPI record
| NPI | 1447950779 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 160 Lexington Dr, Buffalo Grove, IL 60089 |
| Practice phone | 224-676-0202 |
| Mailing address | 3647 N Nottingham Ave, Chicago, IL 60634 |
| Enumerated | March 6, 2023 |
| Last updated | March 6, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 1-23-64489 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.