SAMANTHA KAY RASTALL
NPI 1003441189
Behavior Technician in Grand Rapids, MI

Q: What is Samantha Rastall's NPI number?

The NPI number for Samantha Rastall is 1003441189. It was assigned to this individual provider in the NPPES registry on March 9, 2020. The provider is also known as Samantha Kay Rastall.

Q: What is Samantha Rastall's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Rastall was last updated on March 10, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 09, 2020

1490 E BELTLINE AVE SE, GRAND RAPIDS, MI 49506(616) 248-5205 Get Directions Write a Review

NPPES record last updated: March 10, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Samantha Kay Rastall NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA KAY RASTALL (NPI 1003441189) is an individual behavior technician in Grand Rapids, Michigan and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1003441189

Entity TypeIndividualFemale

Primary Taxonomy106S00000X

Provider Legal NameSAMANTHA KAY RASTALL

Location Address1490 E BELTLINE AVE SEGrand Rapids, MI 49506-4336

Mailing Address1490 E Beltline Ave SeGrand Rapids, MI 49506-4336 · (616) 248-5205

Phone(616) 248-5205

Sole ProprietorNo

Enumeration DateMarch 9, 2020

Last NPPES UpdateMarch 10, 2020

NPPES CertifiedMarch 10, 2020

✔ NPI 1003441189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers

Taxonomy Code106S00000X

Definition

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.

1490 E BELTLINE AVE SE, Grand Rapids, MI 49506

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Other Names 1

Former Name (1)Samantha Kay Rastall

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICHARD KEITH SMEDLEY RMA

Technician (Personal Care Attendant)