IndividualActive
Samantha Fredericks
NPI 1366230633 · Behavior Technician · Las Cruces, NM
Samantha Fredericks is a Behavior Technician provider in Las Cruces, NM (NPI 1366230633).
Provider details
- NPI number
- 1366230633
- 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
Basic profile(48/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
3621 Marion Ln
Las Cruces, NM 88012-7579
Phone: (575) 520-6074
Street-level locationGet directions
Mailing address
3621 Marion Ln
Las Cruces, NM 88012-7579
Registry dates
- Enumerated
- 2025-04-28
- Last updated
- 2025-04-28
- Certified
- 2025-04-28
Frequently asked questions
- What is Samantha Fredericks's NPI number?
- Samantha Fredericks's National Provider Identifier (NPI) is 1366230633, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samantha Fredericks's specialty?
- Samantha Fredericks is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Samantha Fredericks located?
- Samantha Fredericks's practice location on file with NPPES is 3621 Marion Ln, Las Cruces, NM 88012-7579.
- What is Samantha Fredericks's phone number?
- The practice phone number listed in the NPPES registry for Samantha Fredericks is (575) 520-6074.
- Is Samantha Fredericks's NPI active?
- Yes — Samantha Fredericks's NPI (1366230633) is active in the NPPES registry as of the last update on 2025-04-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.