Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMANTHA SMOCK
Active Sole ProprietorSAMANTHA SMOCK is a Behavior Analyst healthcare provider located in EAST PEORIA, Illinois. NPI 1053931196 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · EAST PEORIA, IL
Registration Details
- NPI Number
- 1053931196
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 18, 2020 (6.295178366911 yrs)
- Last Updated
- Apr 18, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
508 AVONDALE DREAST PEORIA, IL, 616111644Browse IL providers · Browse ZIP 61611
- Phone
- 3093617014
- Primary Specialty
-
Behavior Analyst
103K00000X
Other Behavior Analyst Providers in EAST PEORIA, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. TAO MARIE ALBRITTON | — | 1407298474 |
| MALLORY WALTERS | BCBA | 1760068803 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.