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SAMANTHA MICHELLE FORTUNE
NPI 1609742352
Behavior Technician in Russellville, AR

Active since October 10, 2025
3205 W MAIN ST, RUSSELLVILLE, AR 72801(479) 567-5470(479) 567-5471 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Samantha Michelle Fortune NPPES

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

SAMANTHA MICHELLE FORTUNE (NPI 1609742352) is an individual behavior technician in Russellville, Arkansas and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1609742352
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameSAMANTHA MICHELLE FORTUNE
Location Address3205 W MAIN STRussellville, AR 72801-2301
Mailing Address3205 W Main StRussellville, AR 72801-2301 · (479) 567-5470 · Fax (479) 567-5471
Phone(479) 567-5470
Fax(479) 567-5471
Sole ProprietorNo
Enumeration DateOctober 10, 2025
NPPES CertifiedOctober 10, 2025
✔ NPI 1609742352 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.

3205 W MAIN ST, Russellville, AR 72801
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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.

JUDITH PUCKETT
Counselor
3205 W MAIN ST
RUSSELLVILLE, AR 72801
Pope County (479) 967-4673
BENJAMIN PROTHEROE
Counselor
3205 W MAIN ST
RUSSELLVILLE, AR 72801
Pope County (479) 967-4673
APRIL SMITH
Counselor
3205 W MAIN ST
RUSSELLVILLE, AR 72801
Pope County (479) 967-4673
HELEN MCCOMBS
Counselor
3205 W MAIN ST
RUSSELLVILLE, AR 72801
Pope County (870) 367-2141
WANDA ARBAUGH
Counselor
3205 W MAIN ST
RUSSELLVILLE, AR 72801
Pope County (479) 967-4673
COLLIN GEORGE
Counselor
3205 W MAIN ST
RUSSELLVILLE, AR 72801
Pope County (479) 967-4673
THEODORE GONGOLA
Counselor
3205 W MAIN ST
RUSSELLVILLE, AR 72801
Pope County (479) 967-4673
BETH N ONASCH
Counselor
3205 W MAIN ST
RUSSELLVILLE, AR 72801
Pope County (479) 967-4673

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 Fortune's NPI number?

The NPI number for Samantha Fortune is 1609742352. It was assigned to this individual provider in the NPPES registry on October 10, 2025.

Where is Samantha Fortune located?

Samantha Fortune practices at 3205 W Main St, Russellville, AR 72801. The listed phone number is (479) 567-5470.

What is Samantha Fortune'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 Fortune was last updated on October 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.