SAMUEL SPACK
NPI 1598488579
Behavior Technician in Estero, FL

Active since September 23, 2022
10121 SHEPHARD ST # 8-301, ESTERO, FL 33967(561) 319-8255 Get Directions Write a Review

NPPES record last updated: September 23, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Samuel Spack NPPES

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

SAMUEL SPACK (NPI 1598488579) is an individual behavior technician in Estero, Florida, licensed in Florida (RBT-22-233179) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1598488579
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameSAMUEL SPACK
Location Address10121 SHEPHARD ST # 8-301Estero, FL 33967-4800
Mailing Address7108 S Kanner HwyStuart, FL 34997-7462
Sole ProprietorYes
Enumeration DateSeptember 23, 2022
NPPES CertifiedSeptember 23, 2022
NPI 1598488579 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 FL · RBT-22-233179
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.
10121 SHEPHARD ST # 8-301, Estero, FL 33967

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 Samuel Spack's NPI number?

The NPI number for Samuel Spack is 1598488579. It was assigned to this individual provider in the NPPES registry on September 23, 2022.

Where is Samuel Spack located?

Samuel Spack practices at 10121 Shephard St # 8-301, Estero, FL 33967. The listed phone number is (561) 319-8255.

What is Samuel Spack'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 Samuel Spack was last updated on September 23, 2022. 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.