Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samantha Jo Ellis

Individual provider Behavior Technician · NPI 1841959533

Samantha Jo Ellis is a Behavior Technician in Wake Forest, North Carolina. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

1530 Woodfield Creek Dr Apt 205
Wake Forest, NC 27587-4758
Phone: (919) 889-4990
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1841959533
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 10, 2021
Last updated in NPPESDecember 10, 2021
Certification dateDecember 10, 2021

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