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

Samantha Sage McKinnon

Individual provider Behavior Technician · NPI 1336657816

Samantha Sage McKinnon is a Behavior Technician in Charlotte, North Carolina. Works from 3 locations. Licensed in South Carolina.

Licensed in
SC
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

525 N Tryon St Ste 1600
Charlotte, NC 28202-0213
Phone: (855) 832-6727
Fax: (772) 675-9100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 308 Gratiot Ave, Alma, MI 48801-1809 — (989) 284-7318
  • 355 W Martin Luther King Blvd, Charlotte, NC 28202-1975 — (980) 298-2723

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-21-52491 (SC)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1336657816
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 18, 2018
Last updated in NPPESAugust 30, 2021
Certification dateAugust 30, 2021

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