SAMANTHA RUSTOM
NPI 1326741950
Behavior Technician in West Fargo, ND

Active since March 23, 2023
1405 PRAIRIE PKWY STE 309, WEST FARGO, ND 58078(701) 277-8844 Get Directions Write a Review

NPPES record last updated: March 23, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samantha Rustom NPPES

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

SAMANTHA RUSTOM (NPI 1326741950) is an individual behavior technician in West Fargo, North Dakota and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1326741950
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameSAMANTHA RUSTOM
Location Address1405 PRAIRIE PKWY STE 309West Fargo, ND 58078-3323
Mailing Address647 13th Ave EWest Fargo, ND 58078-3328 · (701) 277-8844
Sole ProprietorNo
Enumeration DateMarch 23, 2023
NPPES CertifiedMarch 23, 2023
NPI 1326741950 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.
1405 PRAIRIE PKWY STE 309, West Fargo, ND 58078

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 Technician
1405 PRAIRIE PKWY STE 309
WEST FARGO, ND 58078
Behavior Technician
1405 PRAIRIE PKWY STE 309
WEST FARGO, ND 58078
Behavior Technician
1405 PRAIRIE PKWY STE 309
WEST FARGO, ND 58078
Behavior Technician
1405 PRAIRIE PKWY STE 309
WEST FARGO, ND 58078
Behavior Technician
1405 PRAIRIE PKWY STE 309
WEST FARGO, ND 58078
Behavior Technician
1405 PRAIRIE PKWY STE 309
WEST FARGO, ND 58078
Behavior Technician
1405 PRAIRIE PKWY STE 309
WEST FARGO, ND 58078
Behavior Technician
1405 PRAIRIE PKWY STE 309
WEST FARGO, ND 58078

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 Rustom's NPI number?

The NPI number for Samantha Rustom is 1326741950. It was assigned to this individual provider in the NPPES registry on March 23, 2023.

Where is Samantha Rustom located?

Samantha Rustom practices at 1405 Prairie Pkwy Ste 309, West Fargo, ND 58078. The listed phone number is (701) 277-8844.

What is Samantha Rustom'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 Rustom was last updated on March 23, 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.