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

Samuel Spack

Individual provider Behavior Technician · NPI 1598488579

Samuel Spack is a Behavior Technician in Estero, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2022
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Practice location Address checks out

10121 Shephard St # 8-301
Estero, FL 33967-4800
Phone: (561) 319-8255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-22-233179 (FL)

Record details

NPI number1598488579
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 23, 2022
Last updated in NPPESSeptember 23, 2022
Certification dateSeptember 23, 2022
Mailing address7108 S Kanner Hwy, Stuart, FL 34997-7462

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