Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1629809462 Individual Practitioner Female Practitioner

Samantha Elizabeth Ellis , RBT

Behavior Technician • Riverview, FL

Professional Overview & Biography Verified Profile Summary

Samantha Ellis, RBT is a registered healthcare professional specializing in Behavior Technician in Riverview, FL. Practice services are available at 4015 CRESCENT PARK DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4015 Crescent Park Dr

Riverview, FL 335783605

Telephone 8134928310
Associated Practice Facility / Clinic
🏢 Beth Ingram & Associates, Inc Facility NPI 1962173757

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Riverview, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
282 Specialists

Practicing in Riverview, FL (75895 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-10
Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

State License IN RBT-24-369108

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

27 Associated Practitioners
Amanda Koch , RBT

Behavior Technician

NPI 1003694530

Registered Behavior Technician

Derivia Winn

Behavior Technician

NPI 1053142927
Mariah Bell

Speech-Language Pathologist

NPI 1053196956
Shayana Venereo

Behavior Technician

NPI 1053242966
Peyton Dryer

Behavior Technician

NPI 1083465918
Gina Marie Weis , OTR

Occupational Therapist - Pediatrics

NPI 1154298008

Occupational Therapist Registered

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location July 10, 2026

Registered at 4015 CRESCENT PARK DR, RIVERVIEW, FL 335783605 (Tel: 8134928310)

📍
Updated Business Mailing Address July 10, 2026

Registered at 2119 DELIGHTFUL DR, RUSKIN, FL 335705825 (Tel: 8132856494)

NPI Profile Active August 15, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location August 15, 2024

Registered at 556 S WASHINGTON ST, DALE, IN 47523 (Tel: 8129376559)

📍
Updated Business Mailing Address August 15, 2024

Registered at 900 TUTOR LN STE 107, EVANSVILLE, IN 477157295 (Tel: 8126021038)

👤
Provider Name / Credentials Updated August 15, 2024

Recorded as SAMANTHA ELLIS, RBT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2024

Behavior Technician (License #RBT-24-369108 in IN)

🟢
Initial NPI Registration & Enumeration August 13, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629809462
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 13, 2024
Last Update: July 10, 2026
Sole Proprietor: No

Mailing Address

2119 Delightful Dr

Ruskin, FL 335705825

Phone: 8132856494

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.