SAMANTHA SHAFFER (NPI# 1013475862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013475862 |
| Entity Type | Individual |
| Full Name | SAMANTHA SHAFFER |
| Practice Address |
1250 Executive Pl Ste 201 Geneva IL 60134-3805 |
| Mailing Address |
1223 University Dr Dekalb IL 60115-2107 |
| Practice Telephone | 8152232237 |
| Enumeration Date | 2019-03-11 |
| Last Update Date | 2019-03-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | BACB484571 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RBT | BACB484571 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548673478 | Samantha Shaffer | Occupational Therapy Assistant | 9301 Hoffman Pl, Warrior, AL 35180-1515 | 2014-06-09 |
| 1699398339 | Samantha Shaffer | Occupational Therapy Assistant | 303 N Mecca St, Cortland, OH 44410-1074 | 2020-05-28 |
| 1831720580 | Samantha Shaffer | Social Worker | 8415 Bellona Ln, Towson, MD 21204-2055 | 2020-01-31 |
| 1942770995 | Samantha Elyse Shaffer | Pharmacist | 413 Lilly Rd Ne, Olympia, WA 98506-5166 | 2018-12-03 |
| 1255347829 | Samantha B Shaffer | Physician Assistant | 1322 Eisenhower Blvd, Johnstown, PA 15904-3307 | 2006-08-01 |
| Street Address |
1250 EXECUTIVE PL STE 201 |
| City | GENEVA |
| State | IL |
| Zip Code | 60134-3805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275962714 | Autism, Behavioral & Educational Services Inc | Local Education Agency (LEA) | 1250 Executive Pl Ste 201, Geneva, IL 60134-3805 | 2013-11-05 |
| 1194326918 | Stephanie Rogers | Behavior Technician | 1250 Executive Pl Ste 201, Geneva, IL 60134-3805 | 2020-11-06 |
| 1730780644 | Jeanna Pritchett | Behavior Technician | 1250 Executive Pl Ste 201, Geneva, IL 60134-3805 | 2020-11-06 |
| 1558986877 | Emily Salomon | Behavior Technician | 1250 Executive Pl Ste 201, Geneva, IL 60134-3805 | 2020-06-11 |
| 1114565199 | Nina Drew | Behavior Technician | 1250 Executive Pl Ste 201, Geneva, IL 60134-3805 | 2019-12-20 |
| 1760020184 | Audrey Whybrew | Behavior Technician | 1250 Executive Pl Ste 201, Geneva, IL 60134-3805 | 2019-12-16 |
| 1497213763 | Alisa Barrios | Behavior Technician | 1250 Executive Pl Ste 201, Geneva, IL 60134-3805 | 2019-03-06 |
| 1013411321 | Marie Christine Lafronza | Behavioral Analyst | 1250 Executive Pl Ste 201, Geneva, IL 60134-3805 | 2018-03-21 |
| 1548620248 | Krista Gengo | Behavioral Analyst | 1250 Executive Pl Ste 201, Geneva, IL 60134-3805 | 2016-02-24 |
| 1295126555 | Kelsey Proctor | Counselor | 1250 Executive Pl Ste 201, Geneva, IL 60134-3805 | 2015-02-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403918 | Glenda Creighton | Physical Therapist | 0n 801 Friendship Way, Geneva, IL 60134 | 2020-10-02 |
| 1467912212 | Cierra Monae French | Family Medicine | Northwestern Medicine Delnor Hospital, 300 Randall Road, Geneva, IL 60134 | 2019-03-20 |
| 1497246227 | Linda Huber | Psychologist | 1541 E Fabyan Pkwy Ste 101, Geneva, IL 60134 | 2018-05-29 |
| 1003305459 | Nicole Collins | Specialist/Technologist | 1125 Lewis Road, Geneva, IL 60134 | 2018-05-01 |
| 1013438704 | Emily Byars | Clinic/Center | 1111 Greenfield Circle, Geneva, IL 60134 | 2017-07-03 |
| 1982142980 | Samantha Courtney | Counselor | 1120 Randall Ct., Geneva, IL 60134 | 2017-02-09 |
| 1073055026 | Physical Rehabilitation Clinics | Physical Therapist | 507 S. 3rd St. Unit I, Geneva, IL 60134 | 2016-11-08 |
| 1265868707 | Gina Marie Gilchrist | Dietitian, Registered | 39w479 W Haladay Ln, Geneva, IL 60134 | 2013-09-16 |
| 1770823585 | William A. Goodfellow | General Practice | 1010 S. Batavia Ave., Geneva, IL 60134 | 2013-02-15 |
| 1467705392 | Kylie L Mack | Physician Assistant | 351 Delnor Dr #100, Geneva, IL 60134 | 2012-10-16 |
| Find all providers in zip 60134 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861040289 | Krystina Garcia | Behavior Technician | 208 Larsdotter Ln, Geneva, IL 60134-4499 | 2019-08-28 |
| 1518520626 | Rachel Erin Barry | Behavior Technician | 111 Ridge Ln, Geneva, IL 60134-2431 | 2019-04-16 |
| 1699249094 | Anna Decker Murray | Behavior Technician | 3462 Wild Prairie Ln, Geneva, IL 60134-3963 | 2019-01-18 |
| 1780176016 | Alexis Kissane | Behavior Technician | 1527 Kirkwood Dr, Geneva, IL 60134-1659 | 2018-06-01 |
| 1730685033 | Anna Ishikawa | Behavior Technician | 25 N River Lane, Suite 2109, Geneva, IL 60134-2003 | 2018-04-04 |
| 1366948184 | Rachelle Johnston | Behavior Technician | 0n315 King Dr, Geneva, IL 60134-3599 | 2018-04-02 |
| 1194326918 | Stephanie Rogers | Behavior Technician | 1250 Executive Pl Ste 201, Geneva, IL 60134-3805 | 2020-11-06 |
| 1730780644 | Jeanna Pritchett | Behavior Technician | 1250 Executive Pl Ste 201, Geneva, IL 60134-3805 | 2020-11-06 |
| 1558962472 | Chelsea Most | Behavior Technician | 1250 Executive Pl, Geneva, IL 60134-3807 | 2020-11-06 |
| 1558986877 | Emily Salomon | Behavior Technician | 1250 Executive Pl Ste 201, Geneva, IL 60134-3805 | 2020-06-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.