Active NPIIndividual provider

Samantha J Pannenborg

Behavior Technician in Milton, Massachusetts

NPI Number1376497792
Practice location
2 Granite Ave, Milton, MA 02186-4376
Fax
—
Last updated
February 23, 2026

Samantha J Pannenborg is a Behavior Technician based in Milton, MA. Samantha J Pannenborg practices in Milton, MA. The NPI Number for Samantha J Pannenborg is 1376497792. The current practice location address for Samantha J Pannenborg is 2 Granite Ave, Milton, MA 02186-4376 and can be reached out via phone at 617-812-9454.

Provider Profile Details

NPI Number
1376497792
Provider Name
Samantha J Pannenborg
Provider Entity Type
Individual
Gender
Female
Address
2 Granite Ave, Milton, MA 02186-4376
Phone Number
617-812-9454
Primary Taxonomy
Behavior Technician · 106S00000X
Sole Proprietor
No
Provider Enumeration Date
February 23, 2026
Last Update Date
February 23, 2026
Certification Date
February 23, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
2 Granite Ave
Milton, MA 02186-4376
City
Milton
Zip
02186-4376
Phone Number
617-812-9454
Milton, MA 02186Get directions →

Provider Business Mailing Address Details

Address
18726 S Western Ave
Gardena, CA 90248-3813
City
Gardena
State
CA
Zip
90248-3813
Phone Number
310-856-0800

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 J Pannenborg?

The NPI number of Samantha J Pannenborg is 1376497792. It was assigned on February 23, 2026 and is currently active in the NPPES registry.

What is the specialty of Samantha J Pannenborg?

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

Where does Samantha J Pannenborg practice?

The practice location is 2 Granite Ave, Milton, MA 02186-4376. The office can be reached at 617-812-9454 (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 1376497792 directly on the NPPES registry website.

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