IndividualActive
Samantha Gannon, RBT
NPI 1891484705 · Behavior Technician · Champaign, IL
Samantha Gannon, RBT is a Behavior Technician provider in Champaign, IL (NPI 1891484705).
Provider details
- NPI number
- 1891484705
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Credential
- RBT
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(52/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
2301 W Bradley Ave
Champaign, IL 61821-1849
Phone: (574) 387-4313
Street-level locationGet directions
Mailing address
215 Red Coach Dr
Mishawaka, IN 46545-8307
Registry dates
- Enumerated
- 2023-05-05
- Last updated
- 2023-05-05
- Certified
- 2023-05-05
Frequently asked questions
- What is Samantha Gannon's NPI number?
- Samantha Gannon's National Provider Identifier (NPI) is 1891484705, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samantha Gannon's specialty?
- Samantha Gannon is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Samantha Gannon located?
- Samantha Gannon's practice location on file with NPPES is 2301 W Bradley Ave, Champaign, IL 61821-1849.
- What is Samantha Gannon's phone number?
- The practice phone number listed in the NPPES registry for Samantha Gannon is (574) 387-4313.
- Is Samantha Gannon's NPI active?
- Yes — Samantha Gannon's NPI (1891484705) is active in the NPPES registry as of the last update on 2023-05-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.