Lindsay Jeanne Small, MA, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

751 East Georgia St
Woodruff, SC 29388

Phone

(864) 676-0028

Fax

(864) 476-0033

NPI assigned

Aug 12, 2020

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

Other names 1

• Lindsay Jeanne Gaynor Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1194336370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7304 GORMAN PL APT 7304",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296808129",
            "telephone_number": "864-243-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 EAST GEORGIA ST",
            "city": "WOODRUFF",
            "state": "SC",
            "postal_code": "29388",
            "telephone_number": "864-676-0028",
            "fax_number": "864-476-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALL",
        "first_name": "LINDSAY",
        "middle_name": "JEANNE",
        "credential": "MA, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSAY",
            "last_name": "GAYNOR",
            "middle_name": "JEANNE",
            "credential": "MA, BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Diane J Schlafly, L.M.T.
• Gajanan Ramnath Shanbhag, MD
• Pramila Gajanan Shanbhag, MD
• Laura Shields
• Toshiva Deshane Shippy, FNP
• Jonathan Gregory Smith, DMD, MHS
• Kristina Smith, M.A., CCC-SLP
• Susan Lucille Smith, PT
• South Carolina CVS Pharmacy LLC (CVS Pharmacy # 02446)
• South Carolina Post Acute Medical Services 1 PC

• Behavior Analyst in Woodruff, SC
• Providers in Woodruff, SC by specialty
• Behavior Analyst in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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.