SAMANTHA HOLZENDORF
NPI 1073254074
Behavior Technician in Statesboro, GA

Active since April 05, 2022
24 JOE KENNEDY BLVD, STATESBORO, GA 30458(912) 208-2024 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samantha Holzendorf NPPES

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

SAMANTHA HOLZENDORF (NPI 1073254074) is an individual behavior technician in Statesboro, Georgia and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1073254074
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameSAMANTHA HOLZENDORF
Location Address24 JOE KENNEDY BLVDStatesboro, GA 30458-3100
Mailing AddressPo Box 663Lakeland, MI 48143-0663 · (810) 599-2129
Sole ProprietorNo
Enumeration DateApril 5, 2022
NPPES CertifiedApril 4, 2022
NPI 1073254074 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.
24 JOE KENNEDY BLVD, Statesboro, GA 30458

Other Providers at the Same Location NPPES 2

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

Behavior Technician
24 JOE KENNEDY BLVD
STATESBORO, GA 30458
Behavior Technician
24 JOE KENNEDY BLVD
STATESBORO, GA 30458

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 Holzendorf's NPI number?

The NPI number for Samantha Holzendorf is 1073254074. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Samantha Holzendorf located?

Samantha Holzendorf practices at 24 Joe Kennedy Blvd, Statesboro, GA 30458. The listed phone number is (912) 208-2024.

What is Samantha Holzendorf's specialty?

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

When was this NPI record last updated?

The NPPES record for Samantha Holzendorf was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.