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Sam Shaffer

Behavior Technician in Boca Raton, FL. Individual provider (NPI-1).

NPI number1548073299
StatusActive
Last updated in NPPESJan 28, 2025

Details

NPI
1548073299
Entity type
Individual (NPI-1)
Name
Sam Shaffer
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 28, 2025
Certification date
Jan 28, 2025
Last updated
Jan 28, 2025

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

9970 Central Park Blvd N Ste 401
Boca Raton, FL 33428-2252

Phone 305-807-1909

Mailing address

251 Oldfield Rd
Fairfield, CT 06824-6427

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Behavior Technician providers in Boca Raton, FL

All 524 Behavior Technician providers in Boca Raton · All 9,710 providers in Boca Raton

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