Individual provider Active NPI

Erin Smith, MA., BCBA

  • Behavior Analyst
  • Albuquerque, NM
National Provider Identifier
1023468386
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-20-43002 Issued in NM
Practice address
8300 Jefferson St NE Ste B
Albuquerque, NM 87113-1734
Phone
(531) 272-2412
NPI assigned
Jun 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-20-43002 NM Primary

Addresses

Primary practice location

8300 Jefferson St NE Ste B
Albuquerque, NM 87113-1734

Mailing address

8300 Jefferson St NE Ste B
Albuquerque, NM 87113-1734
Phone (531) 272-2412

Other practice location 1

712 Torretta Dr SW
Albuquerque, NM 87121-5377
Phone (505) 264-7389

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Autism Learning Collaborative LLC Behavior Analyst CurrentSince Oct 24, 2021 Accepting new patients

Locations

8300 Jefferson St NE
Ste B
Albuquerque, NM 87113
Phone (505) 225-5323

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1023468386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 JEFFERSON ST NE STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131734",
            "telephone_number": "531-272-2412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 JEFFERSON ST NE STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131734",
            "telephone_number": "531-272-2412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "712 Torretta Dr SW",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871215377",
            "country_code": "US",
            "telephone_number": "505-264-7389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ERIN",
        "credential": "MA., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-17",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NM",
            "license": "1-20-43002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.