NPI 1922508068 · live from the CMS NPI Registry
Samantha Berry
Behavior Analyst in Bardstown, KY. National Provider Identifier 1922508068, active.
NPI record
| NPI | 1922508068 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 125 Reardon Blvd, Bardstown, KY 40004 |
| Practice phone | 502-818-2102 |
| Mailing address | 101 S Tryon St Ste 2700-126, Charlotte, NC 28280 |
| Enumerated | February 15, 2018 |
| Last updated | October 16, 2026 |
| Sole proprietor | No |
| Other names | Samantha Berry |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — (KY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.