SAMANTHA KELLUM RBT
NPI 1497498240
Behavior Technician in Tupelo, MS

Active since April 19, 2022
146 S THOMAS ST STE C, TUPELO, MS 38801(662) 840-0974(662) 840-0388 Get Directions Write a Review

NPPES record last updated: April 19, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Samantha Kellum Rbt NPPES

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

SAMANTHA KELLUM RBT (NPI 1497498240) is an individual behavior technician in Tupelo, Mississippi and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1497498240
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameSAMANTHA KELLUMCredential: RBT
Location Address146 S THOMAS ST STE CTupelo, MS 38801-5328
Mailing Address146 S Thomas St Ste CTupelo, MS 38801-5328 · (662) 840-0974 · Fax (662) 840-0388
Fax(662) 840-0388
Sole ProprietorNo
Enumeration DateApril 19, 2022
NPPES CertifiedApril 19, 2022
NPI 1497498240 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.

146 S THOMAS ST STE C, Tupelo, MS 38801

Other Providers at the Same Location NPPES 12

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

Behavior Analyst
146 S THOMAS ST STE C
TUPELO, MS 38801
Behavior Analyst
146 S THOMAS ST STE C
TUPELO, MS 38801
Behavior Technician
146 S THOMAS ST STE C
TUPELO, MS 38801
Behavior Analyst
146 S THOMAS ST STE C
TUPELO, MS 38801
Behavior Technician
146 S THOMAS ST STE C
TUPELO, MS 38801
Behavior Technician
146 S THOMAS ST STE C
TUPELO, MS 38801
Behavior Technician
146 S THOMAS ST STE C
TUPELO, MS 38801
Behavior Technician
146 S THOMAS ST STE C
TUPELO, MS 38801

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497498240, enumerated as an "individual" on April 19, 2022.

The provider is located at 146 S THOMAS ST STE C TUPELO, MS 38801 and the phone number is (662) 840-0974.

Behavior Technician with taxonomy code 106S00000X.