John Seth Smith, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

L-326 Issued in LA

Practice address

2100 Floyd Park Dr Ste 2
Ruston, LA 71270-6648

Phone

(318) 548-1589

NPI assigned

Oct 18, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Masterpiece Behavior Services

  • Behavior Analyst
  • Ruston, LA
  • NPI 1063176071
  NPD Authorized official
• Behavioral Developmental Services

  • Behavior Analyst
  • Monroe, LA
  • NPI 1023454451
  NPD (past)

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

{
    "created_epoch": "1539820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1104392034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 FLOYD PARK DR STE 2",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712706648",
            "telephone_number": "318-548-1589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 FLOYD PARK DR STE 2",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712706648",
            "telephone_number": "318-548-1589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JOHN",
        "middle_name": "SETH",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-18",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "LA",
            "license": "L-326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George B Smith, M.D.
• Gerald Wayne Smith, D.C.
• Glenda Marie Smith, LPN
• Gregory Wayne Smith, D.C.
• Jerry Alton Smith, M.D.
• Kourtney Giles Smith, M.A., LPC, NBCC
• Landon Craig Smith, M.D.
• Melanie Smith
• Michelle H Smith, OT
• Rosalind Nichole Smith

• Behavior Analyst in Ruston, LA
• Providers in Ruston, LA by specialty
• Behavior Analyst in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.