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

Samantha Smock

Individual provider Behavior Analyst · NPI 1053931196

Samantha Smock is a Behavior Analyst in East Peoria, Illinois. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

508 Avondale Dr
East Peoria, IL 61611-1644
Phone: (309) 361-7014
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X

Record details

NPI number1053931196
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 18, 2020
Last updated in NPPESApril 18, 2020
Certification dateApril 18, 2020
Mailing address508 Avondale Dr, East Peoria, IL 61611-1644

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