Addison Sample · Behavior Technician

27777 Inkster Rd, Suite 100, Farmington Hills, MI 48334-5310

Overview

Addison Sample is a Behavior Technician practicing in Farmington Hills, Michigan. The National Provider Identifier (NPI) is #1164392213, which was assigned on November 5, 2025, and the registration record was last updated on November 5, 2025. The practitioner's main practice location is at 27777 Inkster Rd, Suite 100, Farmington Hills, MI 48334-5310; the contact telephone number is 8557728847. The primary taxonomy of Addison Sample is Behavior Technician (106S00000X).

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Provider Information

NPI 1164392213
Entity Type Individual
Provider Name ADDISON SAMPLE
Gender Female
Practice Address 27777 Inkster Rd
Suite 100
Farmington Hills
MI 48334-5310
Practice Telephone 8557728847
Mailing Address 27777 Inkster Rd
Suite 100
Farmington Hills
MI 48334-5310
Mailing Telephone 8557728847
Certification Date 2025-11-05
Enumeration Date 2025-11-05
Last Update Date 2025-11-05
Is Sole Proprietor N

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y106S00000XBehavior Technician

Taxonomy Information

Primary Taxonomy

Code 106S00000X
Taxonomy Behavior Technician
Classification Behavior Technician
Grouping Behavioral Health & Social Service Providers
Definition: The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new]

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Location Information

Street Address 27777 INKSTER RD
SUITE 100
City FARMINGTON HILLS
State MI
Zip Code 48334-5310
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Ashvik Valentine 27777 Inkster Rd, Suite 100, Farmington Hills, MI 48334-5310Behavior Technician2026-01-06
Somaiya Tate 27777 Inkster Rd, Suite 100, Farmington Hills, MI 48334-5310Behavior Technician2026-01-09
Symphany Wiggins 27777 Inkster Rd, Suite 100, Farmington Hills, MI 48334-5310Behavior Technician2026-01-07
Amina Hysaw 27777 Inkster Rd, Suite 100, Farmington Hills, MI 48334-5310Behavior Technician2026-01-06
Ariela Boboc 27777 Inkster Rd, Suite 100, Farmington Hills, MI 48334-5310Behavior Technician2026-01-06
Amanda John 27777 Inkster Rd, Suite 100, Farmington Hills, MI 48334-5310Behavior Technician2026-01-06
Ajah Atem 27777 Inkster Rd, Suite 100, Farmington Hills, MI 48334-5310Behavior Technician2026-01-06
Maria Romeu 27777 Inkster Rd, Farmington Hills, MI 48334-5310Behavior Technician2026-01-09
Timothy Waquie 27777 Inkster Rd, Suite 100, Farmington Hills, MI 48334-5310Behavior Technician2026-01-07
Steven Minden 27777 Inkster Rd, Suite 100, Farmington Hills, MI 48334-5310Behavior Technician2026-01-07
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Frederick Howard Wassermann 27620 Farmington Road, Suite 109, Farmington Hills, MI 48334Dentist2007-02-26
Deluxe Dental Associates #14-Farmington Hills, PLLC 30969 Orchard Lake Rd, Farmington Hills, MI 48334-1338Dentist2025-07-01
Gayle R Beck 31700 W. Thirteen Mile Rd., Suite 219, Farmington Hills, MI 48334Psychologist2006-11-20
L Raj S Patil 32905 W 12 Mile Rd, Suite 450, Farmington Hills, MI 48334Internal Medicine Physician2006-06-20
Shresse Shantel Jaha 31775 Ridgeside Dr Apt 21, Farmington Hills, MI 48334-1278Adult Companion2025-04-17
Lauren Ann Lipphardt Us Domestic, 27777 Inkster Rd., Suite 100, Farmington Hills, MI 48334Behavioral Analyst2020-06-26
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Cassondra Drane 27777 Inkster Road, Suite 100, Farmington Hills, MI 48334Behavior Technician2022-12-29
Yalinie Medics LLC 3310 West 12 Mile Road, Farmington Hills, MI 48334Internal Medicine Physician2025-09-12
Richard M Trosch 32255 Northwestern Hwy, Ste 40, Farmington Hills, MI 48334Neurology Physician2005-11-18
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.