KIERAN D SAMUELSON
NPI 1629665823
Behavior Technician in Bethel, AK

Active since December 22, 2020
5016 NOEL POLTY BLVD, BETHEL, AK 99559(907) 543-6800 Get Directions Write a Review

NPPES record last updated: December 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kieran D Samuelson NPPES

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

KIERAN D SAMUELSON (NPI 1629665823) is an individual behavior technician in Bethel, Alaska and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1629665823
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameKIERAN D SAMUELSON
Location Address5016 NOEL POLTY BLVDBethel, AK 99559
Mailing AddressPo Box 528Bethel, AK 99559-0528 · (907) 543-6000
Sole ProprietorNo
Enumeration DateDecember 22, 2020
NPPES CertifiedDecember 18, 2020
NPI 1629665823 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.

5016 NOEL POLTY BLVD, Bethel, AK 99559

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.

Counselor
5016 NOEL POLTY BLVD
BETHEL, AK 99559
Counselor
5016 NOEL POLTY BLVD
BETHEL, AK 99559
Counselor
5016 NOEL POLTY BLVD
BETHEL, AK 99559
Counselor
5016 NOEL POLTY BLVD
BETHEL, AK 99559
Counselor
5016 NOEL POLTY BLVD
BETHEL, AK 99559
Counselor
5016 NOEL POLTY BLVD
BETHEL, AK 99559
Counselor
5016 NOEL POLTY BLVD
BETHEL, AK 99559
Counselor
5016 NOEL POLTY BLVD
BETHEL, AK 99559

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 Kieran Samuelson's NPI number?

The NPI number for Kieran Samuelson is 1629665823. It was assigned to this individual provider in the NPPES registry on December 22, 2020.

Where is Kieran Samuelson located?

Kieran Samuelson practices at 5016 Noel Polty Blvd, Bethel, AK 99559. The listed phone number is (907) 543-6800.

What is Kieran Samuelson'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 Kieran Samuelson was last updated on December 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.