Samantha Marie Smith

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

BACB1191327 Issued in OK

Practice address

729 Overland TRL
Enid, OK 73703-6304

Phone

(580) 540-4163

Fax

(580) 297-5204

NPI assigned

Feb 17, 2025

Sex

Female

Sole proprietor

Yes

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.

• Aspire Oklahoma LLC

  • Behavior Analyst
  • Enid, OK
  • NPI 1841541935
  NPD

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

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1104621804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 OVERLAND TRL",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737036304",
            "telephone_number": "580-540-4163",
            "fax_number": "580-297-5204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 OVERLAND TRL",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737036304",
            "telephone_number": "580-540-4163",
            "fax_number": "580-297-5204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SAMANTHA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OK",
            "license": "BACB1191327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Kershaw Smith, PHARM.D.
• Elizabeth Smith, PT
• Mindy Ann Smith, LPN
• Nancy Kathleen Smith, M.ED. CCC-SLP
• Ryan Christopher Smith, H.I.S.
• Shelby Denise Smith, MS, LPC-C
• Sierra Hope Smith
• Jennifer Smithson
• Malerie Brianne Snapp
• Joe Edward Snodgrass, MD

• All providers in Enid, OK
• Behavior Technician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; 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.