Wellformed AI

NPI 1881181600 · live from the CMS NPI Registry

Samantha P Allen, BCBA, LBA

Behavior Analyst in Radcliff, KY. National Provider Identifier 1881181600, active.

NPI record

NPI1881181600 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location955 N Wilson Rd Ste G, Radcliff, KY 40160
Practice phone502-314-0671
Mailing address4911 Fielding Way, Louisville, KY 40216
EnumeratedApril 17, 2018
Last updatedMay 5, 2021
Sole proprietorNo
Other namesSamantha Allen

Taxonomies and licenses

TaxonomyCodeLicense
Assistant Behavior Analyst106E00000X8709 (KY)
Behavior Analyst primary103K00000X265059 (KY)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.