Active NPIIndividual providerSole proprietor

Samantha Blair

Behavior Technician in Fort Wayne, Indiana

NPI Number1063225886
Practice location
7561 W Jefferson Blvd, Fort Wayne, IN 46804-4131
Fax
—
Last updated
January 27, 2025

Samantha Blair is a Behavior Technician based in Fort Wayne, IN. Samantha Blair practices in Fort Wayne, IN. The NPI Number for Samantha Blair is 1063225886. The current practice location address for Samantha Blair is 7561 W Jefferson Blvd, Fort Wayne, IN 46804-4131 and can be reached out via phone at 219-881-8400.

Provider Profile Details

NPI Number
1063225886
Provider Name
Samantha Blair
Provider Entity Type
Individual
Gender
Female
Address
7561 W Jefferson Blvd, Fort Wayne, IN 46804-4131
Phone Number
219-881-8400
Primary Taxonomy
Behavior Technician · 106S00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 27, 2025
Last Update Date
January 27, 2025
Certification Date
January 23, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
7561 W Jefferson Blvd
Fort Wayne, IN 46804-4131
State
Indiana
Zip
46804-4131
Phone Number
219-881-8400
Fort Wayne, IN 46804Get directions →

Provider Business Mailing Address Details

Address
560 Sylan Ave Suite 2048
Englewood Cliffs, NJ 07632
City
Englewood Cliffs
State
NJ
Zip
07632

License Information

Taxonomy
Behavior Technician · 106S00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Samantha Blair?

The NPI number of Samantha Blair is 1063225886. It was assigned on January 27, 2025 and is currently active in the NPPES registry.

What is the specialty of Samantha Blair?

Samantha Blair is registered under the primary taxonomy Behavior Technician (code 106S00000X).

Where does Samantha Blair practice?

The practice location is 7561 W Jefferson Blvd, Fort Wayne, IN 46804-4131. The office can be reached at 219-881-8400 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063225886 directly on the NPPES registry website.

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