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Active NPI 1255171633 Individual Practitioner Female Practitioner

Samara Grissom

Behavior Technician • Columbus, IN

Professional Overview & Biography Verified Profile Summary

Samara Grissom is a registered healthcare professional specializing in Behavior Technician in Columbus, IN. Practice services are available at 4070 25TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4070 25th St

Columbus, IN 472033161

Telephone 8123736103
Fax 8883754149
Associated Practice Facility / Clinic
🏢 Eperture Llc Facility NPI 1821645169

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Columbus, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 3.0 Yrs
Regional Practice Density
443 Specialists

Practicing in Columbus, IN (17083 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: 2024-05-31
Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

State License IN RBT-21-188553

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

17 Associated Practitioners
Tiffany Baker , LCSW

Social Worker - Clinical

NPI 1144031584

Licensed Clinical Social Worker

Dessie Jackson

Behavior Analyst

NPI 1194481622
Frances Taylor , LMHC

Counselor - Mental Health

NPI 1225277122

Licensed Mental Health Counselor

Ashley Gamen , RBT

Behavior Technician

NPI 1457122350

Registered Behavior Technician

Spencer Prather

Counselor - Mental Health

NPI 1467130476
Angela Allen , NCC, LMHC, BCBA

Counselor - Mental Health

NPI 1497920714

National Certified Counselor, Licensed Mental Health Counselor, Board Certified Behavior Analyst

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 31, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location May 31, 2024

Registered at 4070 25TH ST, COLUMBUS, IN 472033161 (Tel: 8123736103)

📍
Updated Business Mailing Address May 31, 2024

Registered at 1019 FRANKLIN ST APT 1, COLUMBUS, IN 472015786 (Tel: 8123417615)

👤
Provider Name / Credentials Updated May 31, 2024

Recorded as SAMARA GRISSOM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 31, 2024

Behavior Technician (License #RBT-21-188553 in IN)

🟢
Initial NPI Registration & Enumeration May 31, 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: 1255171633
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 31, 2024
Last Update: May 31, 2024
Sole Proprietor: Yes

Mailing Address

1019 Franklin St Apt 1

Columbus, IN 472015786

Phone: 8123417615

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.