NPI

Samuel Spack

NPI 1598488579

Read from the NPPES registry on October 24, 2026.

Facts

Status
Active
Type
Individual
Enumeration date
2022-09-23
Last updated
2022-09-23

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Specialties

Licenses

License FL
RBT-22-233179

Location

Practice location
10121 Shephard St # 8-301
City
Estero FL
Postal code
33967-4800
Phone
(561) 319-8255

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Behavior Technicians in Estero, FL. 16 with this primary taxonomy in the public file.

Other NPIs in Estero, FL. 629 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

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