SAMANTHA GANNON RBT
NPI 1891484705
Behavior Technician in Champaign, IL

NPI Status: Active since May 05, 2023

Contact Information

2301 W BRADLEY AVE
CHAMPAIGN, IL
ZIP 61821
Phone: (574) 387-4313

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  • Individual
  • Female
  • Behavior Technician

About SAMANTHA GANNON

This page provides the complete NPI Profile along with additional information for Samantha Gannon, a provider established in Champaign, Illinois with a medical specialization in Behavior Technician. The healthcare provider is registered in the NPI registry with number 1891484705 assigned on May 2023. The practitioner's primary taxonomy code is 106S00000X. The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1891484705
Provider Name
SAMANTHA GANNON RBT
Gender
Female
Entity Type
Individual
Location Address
2301 W BRADLEY AVE CHAMPAIGN, IL 61821
Location Phone
(574) 387-4313
Mailing Address
215 RED COACH DR MISHAWAKA, IN 46545
Mailing Phone
(574) 387-4313
Mailing Fax
Is Sole Proprietor?
Yes
Enumeration Date
05-05-2023
Last Update Date
05-05-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Behavior Technician

Taxonomy Code
106S00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
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.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1891484705
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2818188870
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 8 + 1 + 8 + 8 + 8 + 7 + 0 + 24 = 75
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 75 = 55

The NPI number 1891484705 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1295223337 MICHELLE VICTORIA BEATTY BCBA
Individual
Behavior Analyst2301 W BRADLEY AVE
CHAMPAIGN, IL 61821
(574) 387-4313
1174266472 ADAM SCOTT RBT
Individual
Behavior Technician2301 W BRADLEY AVE
CHAMPAIGN, IL 61821
(574) 387-4313
1437892734 AVRIE STOGSDILL RBT
Individual
Behavior Technician2301 W BRADLEY AVE
CHAMPAIGN, IL 61821
(574) 387-4313
1740923036 DAJZA FOSTER RBT
Individual
Behavior Technician2301 W BRADLEY AVE
CHAMPAIGN, IL 61821
(574) 387-4313
1063159606 SAMANTHA VESTAL RBT
Individual
Behavior Technician2301 W BRADLEY AVE
CHAMPAIGN, IL 61821
(574) 387-4313
1740925825 SUSAN JACKSON LCSW
Individual
Social Worker (Clinical)2301 W BRADLEY AVE
CHAMPAIGN, IL 61821
(574) 387-4313
1275268476 LEXIS TURNER RBT
Individual
Behavior Technician2301 W BRADLEY AVE
CHAMPAIGN, IL 61821
(574) 387-4313
1437883360 HAELEIGH LITTLE RBT
Individual
Behavior Technician2301 W BRADLEY AVE
CHAMPAIGN, IL 61821
(574) 387-4313
1497480693 BAILEY BERG RBT
Individual
Behavior Technician2301 W BRADLEY AVE
CHAMPAIGN, IL 61821
(574) 387-4313
1568197762 ALEXIS DEUEL RBT
Individual
Behavior Technician2301 W BRADLEY AVE
CHAMPAIGN, IL 61821
(574) 387-4313
1093433864 SUSAN WRIGHT RBT
Individual
Behavior Technician2301 W BRADLEY AVE
CHAMPAIGN, IL 61821
(574) 387-4313
1639807431 RIYA PATEL RBT
Individual
Behavior Technician2301 W BRADLEY AVE
CHAMPAIGN, IL 61821
(574) 387-4313
1053950188 RUTH ANNE MARIE OTIS RBT
Individual
Behavior Technician2301 W BRADLEY AVE
CHAMPAIGN, IL 61821
(217) 295-2491
1457957292 KYLE DRANCHAK BCBA
Individual
Behavior Analyst2301 W BRADLEY AVE
CHAMPAIGN, IL 61821
(317) 802-7447
1154039238 TRAVIS GATES RBT
Individual
Behavior Technician2301 W BRADLEY AVE
CHAMPAIGN, IL 61821
(574) 387-4313
1225746308 SHONTIAIRA HOWARD RBT
Individual
Behavior Technician2301 W BRADLEY AVE
CHAMPAIGN, IL 61821
(574) 387-4313
1225748064 BRIANNA DYE RBT
Individual
Behavior Technician2301 W BRADLEY AVE
CHAMPAIGN, IL 61821
(574) 387-4313
1407565534 MACKENZIE SCHROEDER RBT
Individual
Behavior Technician2301 W BRADLEY AVE
CHAMPAIGN, IL 61821
(574) 387-4313
1407566706 STEPHANIE CARTER RBT
Individual
Behavior Technician2301 W BRADLEY AVE
CHAMPAIGN, IL 61821
(574) 387-4313
1518676766 MARANDA PEIFER RBT
Individual
Behavior Technician2301 W BRADLEY AVE
CHAMPAIGN, IL 61821
(574) 387-4313

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891484705, enumerated in the NPI registry as an "individual" on May 05, 2023

The provider is located at 2301 W Bradley Ave Champaign, Il 61821 and the phone number is (574) 387-4313

The provider's speciality is Behavior Technician with taxonomy code 106S00000X

This NPI record was last updated on May 05, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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