SAMANTHA SAGE MCKINNON
NPI 1336657816
Behavior Analyst in Charlotte, NC

Q: What is Samantha Mckinnon's NPI number?

The NPI number for Samantha Mckinnon is 1336657816. It was assigned to this individual provider in the NPPES registry on January 18, 2018.

Q: What is Samantha Mckinnon's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Mckinnon was last updated on August 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since January 18, 2018

525 N TRYON ST STE 1600, CHARLOTTE, NC 28202(855) 832-6727(772) 675-9100 Get Directions Write a Review

NPPES record last updated: August 30, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 23, 2021, Jan 18, 2018 (2 updates tracked since 2018).

On this page

About Samantha Sage Mckinnon NPPES

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

SAMANTHA SAGE MCKINNON (NPI 1336657816) is an individual behavior analyst provider in Charlotte, North Carolina, licensed in South Carolina (1-21-52491) and active in the NPI registry since January 2018. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1336657816

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameSAMANTHA SAGE MCKINNON

Location Address525 N TRYON ST STE 1600Charlotte, NC 28202-0213

Mailing Address7108 S Kanner HwyStuart, FL 34997-7462 · (855) 832-6727 · Fax (772) 675-9100

Phone(855) 832-6727

Fax(772) 675-9100

Sole ProprietorNo

Enumeration DateJanuary 18, 2018

Last NPPES UpdateAugust 30, 20212 updates tracked since enumeration

NPPES CertifiedAugust 30, 2021

✔ NPI 1336657816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in SC · 1-21-52491

Definition

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Also ListedBehavior TechnicianTaxonomy 106S00000X

525 N TRYON ST STE 1600, Charlotte, NC 28202

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1355 W Martin Luther King BlvdCharlotte, NC 28202-1975 · Phone (980) 298-2723

Location 2308 Gratiot AveAlma, MI 48801-1809 · Phone (989) 284-7318

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

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.

MS. MORGAN ASHLEY POTTER

Behavior Technician