SAMANTHA MCKIBBEN BA
NPI 1578077319
Behavior Technician in Elk Grove, CA

Active since November 30, 2017
4908 BROWNSTONE CT, ELK GROVE, CA 95758(916) 753-3114 Get Directions Write a Review

NPPES record last updated: November 30, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samantha Mckibben Ba NPPES

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

SAMANTHA MCKIBBEN BA (NPI 1578077319) is an individual behavior technician in Elk Grove, California and active in the NPI registry since November 2017.

NPPES Registry Identity

NPI1578077319
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameSAMANTHA MCKIBBENCredential: BA
Location Address4908 BROWNSTONE CTElk Grove, CA 95758-4111
Mailing Address4908 Brownstone CtElk Grove, CA 95758-4111
Sole ProprietorNo
Enumeration DateNovember 30, 2017
NPI 1578077319 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.
4908 BROWNSTONE CT, Elk Grove, CA 95758

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 Mckibben's NPI number?

The NPI number for Samantha Mckibben is 1578077319. It was assigned to this individual provider in the NPPES registry on November 30, 2017.

Where is Samantha Mckibben located?

Samantha Mckibben practices at 4908 Brownstone Ct, Elk Grove, CA 95758. The listed phone number is (916) 753-3114.

What is Samantha Mckibben'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 Mckibben was last updated on November 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.