Maliki Deane Smith

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-26-2846530

Practice address

6320 Penn Ave S
Richfield, MN 55423-1139

Phone

(612) 677-2350

NPI assigned

Aug 10, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1073288288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 PENN AVE S",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554231139",
            "telephone_number": "612-677-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 PENN AVE S",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554231139",
            "telephone_number": "612-677-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MALIKI",
        "middle_name": "DEANE",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-10",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-26-2846530",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-21-178880",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Lenore Smerillo, DNP
• Brianca Smith, LPCC
• Hannah Smith, MS, RD, LD
• Helene Margaret Smith
• Jennifer Lynn Smith, PAC
• Shane Eric Smith, DC
• Snyders Drug
• Jenna Marandon Soderbeck, MA, LPCC
• Victor Peterson Solberg
• Anna Leslie Solfest

• Behavior Analyst in Richfield, MN
• Providers in Richfield, MN by specialty
• Behavior Analyst in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; 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.