Healthcare Provider Details

I. General information

NPI: 1316429020
Provider Name (Legal Business Name): SAMANTHA LAPINSKI BCBA-1-21-55802
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2018
Last Update Date: 05/23/2023
Certification Date: 02/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 W DUNDEE RD
BUFFALO GROVE IL
60089-3545
US

IV. Provider business mailing address

1351 HASSELL DR
HOFFMAN ESTATES IL
60169-6953
US

V. Phone/Fax

Practice location:
  • Phone: 847-777-8995
  • Fax:
Mailing address:
  • Phone: 630-666-6240
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-21-55802
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberBACB448221
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: