SAMARA KELLEY
NPI 1235959412
Behavior Technician in South Bend, IN

Active since October 14, 2024
2505 E JEFFERSON BLVD, SOUTH BEND, IN 46615(574) 289-4831 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samara Kelley NPPES

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

SAMARA KELLEY (NPI 1235959412) is an individual behavior technician in South Bend, Indiana and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1235959412
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameSAMARA KELLEY
Location Address2505 E JEFFERSON BLVDSouth Bend, IN 46615-2635
Mailing Address2505 E Jefferson BlvdSouth Bend, IN 46615-2635 · (574) 289-4831
Sole ProprietorNo
Enumeration DateOctober 14, 2024
NPPES CertifiedOctober 14, 2024
NPI 1235959412 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.
2505 E JEFFERSON BLVD, South Bend, IN 46615

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.

Social Worker
2505 E JEFFERSON BLVD
SOUTH BEND, IN 46615
Occupational Therapist
2505 E JEFFERSON BLVD
SOUTH BEND, IN 46615
Behavior Technician
2505 E JEFFERSON BLVD
SOUTH BEND, IN 46615
Behavior Technician
2505 E JEFFERSON BLVD
SOUTH BEND, IN 46615
Behavior Technician
2505 E JEFFERSON BLVD
SOUTH BEND, IN 46615
Behavior Technician
2505 E JEFFERSON BLVD
SOUTH BEND, IN 46615
Behavior Technician
2505 E JEFFERSON BLVD
SOUTH BEND, IN 46615
Behavior Technician
2505 E JEFFERSON BLVD
SOUTH BEND, IN 46615

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 Samara Kelley's NPI number?

The NPI number for Samara Kelley is 1235959412. It was assigned to this individual provider in the NPPES registry on October 14, 2024.

Where is Samara Kelley located?

Samara Kelley practices at 2505 E Jefferson Blvd, South Bend, IN 46615. The listed phone number is (574) 289-4831.

What is Samara Kelley'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 Samara Kelley was last updated on October 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.