SAMANTHA SPITZACK
NPI 1124759758
Behavior Technician in Eagan, MN

Active since June 23, 2022
4635 NICOLS RD # 104, EAGAN, MN 55122(612) 289-6480 Get Directions Write a Review

NPPES record last updated: June 28, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Samantha Spitzack NPPES

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

SAMANTHA SPITZACK (NPI 1124759758) is an individual behavior technician in Eagan, Minnesota and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1124759758
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameSAMANTHA SPITZACK
Location Address4635 NICOLS RD # 104Eagan, MN 55122-3337
Mailing Address4635 Nicols Rd # 104Eagan, MN 55122-3337 · (612) 289-6480
Sole ProprietorNo
Enumeration DateJune 23, 2022
Last NPPES UpdateJune 28, 2022
NPPES CertifiedJune 28, 2022
NPI 1124759758 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.

4635 NICOLS RD # 104, Eagan, MN 55122

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.

Behavior Analyst
4635 NICOLS RD # 104
EAGAN, MN 55122
Behavior Technician
4635 NICOLS RD # 104
EAGAN, MN 55122
Behavior Technician
4635 NICOLS RD # 104
EAGAN, MN 55122
Behavior Technician
4635 NICOLS RD # 104
EAGAN, MN 55122
Behavior Technician
4635 NICOLS RD # 104
EAGAN, MN 55122
Behavior Technician
4635 NICOLS RD # 104
EAGAN, MN 55122
Behavior Technician
4635 NICOLS RD # 104
EAGAN, MN 55122
Behavior Technician
4635 NICOLS RD # 104
EAGAN, MN 55122

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124759758, enumerated as an "individual" on June 23, 2022.

The provider is located at 4635 NICOLS RD # 104 EAGAN, MN 55122 and the phone number is (612) 289-6480.

Behavior Technician with taxonomy code 106S00000X.