IndividualActive
Samantha Blake
NPI 1063179687 · Behavior Technician · Tampa, FL
Samantha Blake is a Behavior Technician provider in Tampa, FL (NPI 1063179687).
Provider details
- NPI number
- 1063179687
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
4817 Ehrlich Rd
Tampa, FL 33624-2037
Phone: (877) 823-4283
Fax: (352) 332-8589
Street-level locationGet directions
Mailing address
2035 Sw 75th St Ste B
Gainesville, FL 32607-3425
Registry dates
- Enumerated
- 2021-11-18
- Last updated
- 2021-11-18
- Certified
- 2021-11-18
Frequently asked questions
- What is Samantha Blake's NPI number?
- Samantha Blake's National Provider Identifier (NPI) is 1063179687, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samantha Blake's specialty?
- Samantha Blake is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Samantha Blake located?
- Samantha Blake's practice location on file with NPPES is 4817 Ehrlich Rd, Tampa, FL 33624-2037.
- What is Samantha Blake's phone number?
- The practice phone number listed in the NPPES registry for Samantha Blake is (877) 823-4283.
- Is Samantha Blake's NPI active?
- Yes — Samantha Blake's NPI (1063179687) is active in the NPPES registry as of the last update on 2021-11-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.