SAMARA GRISSOM
NPI 1255171633
Behavior Technician in Columbus, IN

Active since May 31, 2024
4070 25TH ST, COLUMBUS, IN 47203(812) 373-6103(888) 375-4149 Get Directions Write a Review

NPPES record last updated: May 31, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Samara Grissom NPPES

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

SAMARA GRISSOM (NPI 1255171633) is an individual behavior technician in Columbus, Indiana, licensed in Indiana (RBT-21-188553) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1255171633
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameSAMARA GRISSOM
Location Address4070 25TH STColumbus, IN 47203-3161
Mailing Address1019 Franklin St Apt 1Columbus, IN 47201-5786 · (812) 341-7615
Fax(888) 375-4149
Sole ProprietorYes
Enumeration DateMay 31, 2024
NPPES CertifiedMay 31, 2024
NPI 1255171633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
License Licensed in IN · RBT-21-188553
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.
4070 25TH ST, Columbus, IN 47203

Other Providers at the Same Location NPPES 6

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

Counselor
4070 25TH ST
COLUMBUS, IN 47203
Counselor (Mental Health)
4070 25TH ST
COLUMBUS, IN 47203
Behavior Technician
4070 25TH ST
COLUMBUS, IN 47203
Behavior Technician
4070 25TH ST
COLUMBUS, IN 47203
Durable Medical Equipment & Medical Supplies (Customized Equipment)
4070 25TH ST
COLUMBUS, IN 47203
Counselor (Mental Health)
4070 25TH ST
COLUMBUS, IN 47203

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 Grissom's NPI number?

The NPI number for Samara Grissom is 1255171633. It was assigned to this individual provider in the NPPES registry on May 31, 2024.

Where is Samara Grissom located?

Samara Grissom practices at 4070 25th St, Columbus, IN 47203. The listed phone number is (812) 373-6103.

What is Samara Grissom'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 Grissom was last updated on May 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.