NPI 1831663947 · live from the CMS NPI Registry
Samantha Ackerman, MS, BCBA
Behavior Analyst in Canton, GA. National Provider Identifier 1831663947, active.
NPI record
| NPI | 1831663947 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 535 Riverstone Parkway Suite 101, Canton, GA 30114 |
| Practice phone | 855-942-0995 |
| Mailing address | 300 International Parkway Suite 200, Lake Mary, FL 32746 |
| Enumerated | January 11, 2019 |
| Last updated | March 16, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | — |
| Behavior Technician | 106S00000X | — |
| Behavior Analyst primary | 103K00000X | 1-23-64713 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.