IndividualActive
Samantha Smock
NPI 1053931196 · Behavior Analyst · East Peoria, IL
Samantha Smock is a Behavior Analyst provider in East Peoria, IL (NPI 1053931196).
Provider details
- NPI number
- 1053931196
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
508 Avondale Dr
East Peoria, IL 61611-1644
Phone: (309) 361-7014
Street-level locationGet directions
Mailing address
508 Avondale Dr
East Peoria, IL 61611-1644
Registry dates
- Enumerated
- 2020-04-18
- Last updated
- 2020-04-18
- Certified
- 2020-04-18
Frequently asked questions
- What is Samantha Smock's NPI number?
- Samantha Smock's National Provider Identifier (NPI) is 1053931196, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samantha Smock's specialty?
- Samantha Smock is listed in the NPPES registry with a primary specialty of Behavior Analyst (Behavioral Health & Social Service Providers).
- Where is Samantha Smock located?
- Samantha Smock's practice location on file with NPPES is 508 Avondale Dr, East Peoria, IL 61611-1644.
- What is Samantha Smock's phone number?
- The practice phone number listed in the NPPES registry for Samantha Smock is (309) 361-7014.
- Is Samantha Smock's NPI active?
- Yes — Samantha Smock's NPI (1053931196) is active in the NPPES registry as of the last update on 2020-04-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.