Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SAMANTHA ELIZABETH ELLIS RBT
NPI 1629809462
Behavior Technician in Riverview, FL

Active since August 13, 2024
4015 CRESCENT PARK DR, RIVERVIEW, FL 33578(813) 492-8310 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 10, 2026, Aug 15, 2024 (2 updates tracked since 2024).

About Samantha Elizabeth Ellis Rbt NPPES

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

SAMANTHA ELIZABETH ELLIS RBT (NPI 1629809462) is an individual behavior technician in Riverview, Florida, licensed in Indiana (RBT-24-369108) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1629809462
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameSAMANTHA ELIZABETH ELLISCredential: RBT
Location Address4015 CRESCENT PARK DRRiverview, FL 33578-3605
Mailing Address2119 Delightful DrRuskin, FL 33570-5825 · (813) 285-6494
Sole ProprietorNo
Enumeration DateAugust 13, 2024
Last NPPES UpdateJuly 10, 20262 updates tracked since enumeration
NPPES CertifiedJuly 10, 2026
NPI 1629809462 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 IN · RBT-24-369108
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.
4015 CRESCENT PARK DR, Riverview, FL 33578

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.

Behavior Technician
4015 CRESCENT PARK DR
RIVERVIEW, FL 33578
Behavior Technician
4015 CRESCENT PARK DR
RIVERVIEW, FL 33578
Speech-Language Pathologist
4015 CRESCENT PARK DR
RIVERVIEW, FL 33578
Behavior Technician
4015 CRESCENT PARK DR
RIVERVIEW, FL 33578
Behavior Analyst
4015 CRESCENT PARK DR
RIVERVIEW, FL 33578
Behavior Analyst
4015 CRESCENT PARK DR
RIVERVIEW, FL 33578
Behavior Technician
4015 CRESCENT PARK DR
RIVERVIEW, FL 33578
Behavior Analyst
4015 CRESCENT PARK DR
RIVERVIEW, FL 33578

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 Ellis's NPI number?

The NPI number for Samantha Ellis is 1629809462. It was assigned to this individual provider in the NPPES registry on August 13, 2024.

Where is Samantha Ellis located?

Samantha Ellis practices at 4015 Crescent Park Dr, Riverview, FL 33578. The listed phone number is (813) 492-8310.

What is Samantha Ellis'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 Ellis was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.