Active NPIIndividual provider

Samuel D Koch

Behavior Technician in Manchester, New Hampshire

NPI Number1639952823
Practice location
2 Wall St Ste 400, Manchester, NH 03101-1518
Fax
—
Last updated
August 5, 2026

Samuel Dale Koch is a Behavior Technician based in Manchester, NH. Samuel Dale Koch practices in Manchester, NH. The NPI Number for Samuel Dale Koch is 1639952823 and holds a License No. 2706567 (SC). The current practice location address for Samuel Dale Koch is 2 Wall St Ste 400, Manchester, NH 03101-1518 and can be reached out via phone at 603-668-4111.

Provider Profile Details

NPI Number
1639952823
Provider Name
Samuel Dale Koch
Provider Entity Type
Individual
Gender
Male
Address
2 Wall St Ste 400, Manchester, NH 03101-1518
Phone Number
603-668-4111
Primary Taxonomy
Behavior Technician · 106S00000X
Sole Proprietor
No
Provider Enumeration Date
August 14, 2023
Last Update Date
August 5, 2026
Certification Date
August 5, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
2 Wall St Ste 400
Manchester, NH 03101-1518
Zip
03101-1518
Phone Number
603-668-4111
Manchester, NH 03101Get directions →

Provider Business Mailing Address Details

Address
2 Wall St Ste 300
Manchester, NH 03101-1518
City
Manchester
State
NH
Zip
03101-1518

License Information

License Number (1)
2706567
License State (1)
SC
Taxonomy (1)
Behavior Technician · 106S00000X · Primary
Taxonomy (2)
Specialist · 174400000X

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 Samuel D Koch?

The NPI number of Samuel D Koch is 1639952823. It was assigned on August 14, 2023 and is currently active in the NPPES registry.

What is the specialty of Samuel D Koch?

Samuel D Koch is registered under the primary taxonomy Behavior Technician (code 106S00000X), licensed in SC under license number 2706567.

Where does Samuel D Koch practice?

The practice location is 2 Wall St Ste 400, Manchester, NH 03101-1518. The office can be reached at 603-668-4111 (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 1639952823 directly on the NPPES registry website.

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