SAMANTHA MAY DARLENE SHACKLEFORD
NPI 1164128682
Behavior Technician in Poplar Bluff, MO

Active since February 06, 2023
3001 WARRIOR LN, POPLAR BLUFF, MO 63901(573) 686-1200 Get Directions Write a Review

NPPES record last updated: February 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Samantha May Darlene Shackleford NPPES

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

SAMANTHA MAY DARLENE SHACKLEFORD (NPI 1164128682) is an individual behavior technician in Poplar Bluff, Missouri and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1164128682
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameSAMANTHA MAY DARLENE SHACKLEFORD
Location Address3001 WARRIOR LNPoplar Bluff, MO 63901-8685
Mailing Address3001 Warrior LnPoplar Bluff, MO 63901-8685 · (573) 686-1200
Sole ProprietorNo
Enumeration DateFebruary 6, 2023
NPPES CertifiedFebruary 6, 2023
NPI 1164128682 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.
3001 WARRIOR LN, Poplar Bluff, MO 63901

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.

Community Health Worker
3001 WARRIOR LN
POPLAR BLUFF, MO 63901
Case Manager/Care Coordinator
3001 WARRIOR LN
POPLAR BLUFF, MO 63901
Behavior Technician
3001 WARRIOR LN
POPLAR BLUFF, MO 63901
Case Manager/Care Coordinator
3001 WARRIOR LN
POPLAR BLUFF, MO 63901
Counselor (Professional)
3001 WARRIOR LN
POPLAR BLUFF, MO 63901
Social Worker (Clinical)
3001 WARRIOR LN
POPLAR BLUFF, MO 63901
Counselor
3001 WARRIOR LN
POPLAR BLUFF, MO 63901
Case Manager/Care Coordinator
3001 WARRIOR LN
POPLAR BLUFF, MO 63901

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 May Shackleford's NPI number?

The NPI number for Samantha May Shackleford is 1164128682. It was assigned to this individual provider in the NPPES registry on February 6, 2023.

Where is Samantha May Shackleford located?

Samantha May Shackleford practices at 3001 Warrior Ln, Poplar Bluff, MO 63901. The listed phone number is (573) 686-1200.

What is Samantha May Shackleford'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 May Shackleford was last updated on February 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.