MS. SAMANTHA BLACKWELL BCBA
NPI 1083119788
Behavior Analyst in Elmhurst, IL

Q: What is Samantha Blackwell's NPI number?

The NPI number for Samantha Blackwell is 1083119788. It was assigned to this individual provider in the NPPES registry on March 26, 2018.

Q: What is Samantha Blackwell's specialty?

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

Active since March 26, 2018

650 W GRAND AVE STE 270, ELMHURST, IL 60126(244) 263-1613 Get Directions Write a Review

NPPES record last updated: May 4, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 4, 2018, Mar 26, 2018 (2 updates tracked since 2018).

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About Ms. Samantha Blackwell Bcba NPPES

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

MS. SAMANTHA BLACKWELL BCBA (NPI 1083119788) is an individual behavior analyst provider in Elmhurst, Illinois, licensed in (1-18-29693) and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1083119788

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameMS. SAMANTHA BLACKWELLCredential: BCBA

Location Address650 W GRAND AVE STE 270Elmhurst, IL 60126-1043

Mailing Address182 Goldeneye LnBloomingdale, IL 60108-5404

Phone(244) 263-1613

Sole ProprietorYes

Enumeration DateMarch 26, 2018

Last NPPES UpdateMay 4, 20182 updates tracked since enumeration

✔ NPI 1083119788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

Licenses✔ Licensed · 1-18-29693✔ Licensed · 1-17-29693

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.

650 W GRAND AVE STE 270, Elmhurst, IL 60126

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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 Blackwell's NPI number?

The NPI number for Samantha Blackwell is 1083119788. It was assigned to this individual provider in the NPPES registry on March 26, 2018.

Where is Samantha Blackwell located?

Samantha Blackwell practices at 650 W Grand Ave Ste 270, Elmhurst, IL 60126. The listed phone number is (244) 263-1613.

What is Samantha Blackwell'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 Blackwell was last updated on May 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.