Christopher Matthew Smith, MS, BSL, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-56496

Practice address

400 W Lancaster Ave
Devon, PA 19333-1531

Phone

(610) 999-6414

NPI assigned

Jan 5, 2011

Sex

Male

Sole proprietor

Yes

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

Credentials

Bachelor of Science - Law, Master of Science

Practice roles

Locations

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.

• 2 Crows LLC

  • Psychiatry Physician
  • King of Prussia, PA
  • NPI 1134789662
  NPD
• Integrative Wellness and Health LLC

  • Psychiatry Physician
  • Mount Laurel, NJ
  • NPI 1326872920
  NPD

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1083918015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 BUTLER PIKE APT 253",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194283150",
            "telephone_number": "814-248-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W LANCASTER AVE",
            "city": "DEVON",
            "state": "PA",
            "postal_code": "193331531",
            "telephone_number": "610-999-6414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHRISTOPHER",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "MS, BSL, BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-05",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-21-56496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Sheehan, OTR/L
• Samantha J Shepherd, LSW
• Nicole Danielle Shinn
• Michael Sinick
• Stephanie Slaski, MMS, PA-C
• Rachel Peyton Smith
• Christina Snyder, LPC
• Jill Elizabeth Snyder, RN
• Beck Soderberg, MD
• Rachael Sorgi

• Behavior Analyst in Devon, PA
• Providers in Devon, PA by specialty
• Behavior Analyst in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.