Provider Demographics
NPI:1316429020
Name:LAPINSKI, SAMANTHA (BCBA-1-21-55802)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:
Last Name:LAPINSKI
Suffix:
Gender:F
Credentials:BCBA-1-21-55802
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1351 HASSELL DR
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-6953
Mailing Address - Country:US
Mailing Address - Phone:630-666-6240
Mailing Address - Fax:
Practice Address - Street 1:333 W DUNDEE RD
Practice Address - Street 2:
Practice Address - City:BUFFALO GROVE
Practice Address - State:IL
Practice Address - Zip Code:60089-3545
Practice Address - Country:US
Practice Address - Phone:847-777-8995
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-30
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILBACB448221106S00000X
IL1-21-55802103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician