Kirstie Michelle Smith, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

6135 Rainbow Dr
Elkridge, MD 21075-5544

Phone

(856) 993-1726

NPI assigned

Jun 12, 2018

Last updated

Jun 11, 2024By the provider in NPPES

Sex

Female

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Playful Peaks, ABA

  • Behavior Analyst
  • Woodstock, MD
  • NPI 1023850815
  NPD Authorized official
• Blue Gems ABA MD LLC

  • Behavior Analyst
  • Columbia, MD
  • NPI 1285206037
  NPD (past)

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1184117244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9367 SHARP ANTLER",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6135 RAINBOW DR",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210755544",
            "telephone_number": "856-993-1726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KIRSTIE",
        "middle_name": "MICHELLE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-12",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allan Jerrod Simpson
• Neeru Singh, DDS, MD, MA
• Frank Skretch
• Mashai Lanyce Small, CD
• Anne M Smith, RD
• April Ilene Dacruz Smothers, OTR/L
• Rallie Gilchrist Snowden, LCSW
• Carol Sobon, RPH
• Soon Ja Kim MD PA
• Laura Marder Sorkin, CRNP

• Behavior Analyst in Elkridge, MD
• Providers in Elkridge, MD by specialty
• Behavior Analyst in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.