IndividualActive
Kieran Samuelson
NPI 1629665823 · Behavior Technician · Bethel, AK
Kieran Samuelson is a Behavior Technician provider in Bethel, AK (NPI 1629665823).
Provider details
- NPI number
- 1629665823
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
5016 Noel Polty Blvd
Bethel, AK 99559
Phone: (907) 543-6800
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 528
Bethel, AK 99559-0528
Registry dates
- Enumerated
- 2020-12-22
- Last updated
- 2020-12-22
- Certified
- 2020-12-18
Frequently asked questions
- What is Kieran Samuelson's NPI number?
- Kieran Samuelson's National Provider Identifier (NPI) is 1629665823, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kieran Samuelson's specialty?
- Kieran Samuelson is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Kieran Samuelson located?
- Kieran Samuelson's practice location on file with NPPES is 5016 Noel Polty Blvd, Bethel, AK 99559.
- What is Kieran Samuelson's phone number?
- The practice phone number listed in the NPPES registry for Kieran Samuelson is (907) 543-6800.
- Is Kieran Samuelson's NPI active?
- Yes — Kieran Samuelson's NPI (1629665823) is active in the NPPES registry as of the last update on 2020-12-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.