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SAMANTHA SMOCK
NPI 1053931196
Behavior Analyst in East Peoria, IL

Active since April 18, 2020
508 AVONDALE DR, EAST PEORIA, IL 61611(309) 361-7014 Get Directions Write a Review

NPPES record last updated: April 18, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Samantha Smock NPPES

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

SAMANTHA SMOCK (NPI 1053931196) is an individual behavior analyst provider in East Peoria, Illinois and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1053931196
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameSAMANTHA SMOCK
Location Address508 AVONDALE DREast Peoria, IL 61611-1644
Mailing Address508 Avondale DrEast Peoria, IL 61611-1644 · (309) 361-7014
Phone(309) 361-7014
Sole ProprietorYes
Enumeration DateApril 18, 2020
NPPES CertifiedApril 18, 2020
✔ NPI 1053931196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
508 AVONDALE DR, East Peoria, IL 61611
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Other Names 1

Former Name (1)Samantha Kohn

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Smock's NPI number?

The NPI number for Samantha Smock is 1053931196. It was assigned to this individual provider in the NPPES registry on April 18, 2020. The provider is also known as Samantha Kohn.

Where is Samantha Smock located?

Samantha Smock practices at 508 Avondale Dr, East Peoria, IL 61611. The listed phone number is (309) 361-7014.

What is Samantha Smock's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Samantha Smock was last updated on April 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.