Mandy Smith, BCBA, LABA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

97 Langdon St FL 1
Newton, MA 02458-1982

Phone

(781) 223-1675

NPI assigned

May 27, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1558915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558915200000",
    "number": "1023675931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 LANGDON ST FL 1",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581982",
            "telephone_number": "781-223-1675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 LANGDON ST FL 1",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581982",
            "telephone_number": "781-223-1675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MANDY",
        "credential": "BCBA, LABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-27",
        "last_updated": "2019-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "TherapyAppointment",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "97 Langdon St Fl 1",
            "city": "Newton",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024581982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cherita Smith
• Jill A Smith, MD
• Julie Katherine Smith, MS, RD, LDN
• Lashae Smith
• Lloyd Steven Smith, DPM
• Megan Smith
• Nancy Smith
• Sarah Marie Smith
• She-Tara Smith
• Bonnie Ellen Smolen, EDD

• Behavior Analyst in Newton, MA
• Providers in Newton, MA by specialty
• Behavior Analyst in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2019; 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.