Active NPI
Shaquavia Kiana Smith
- Behavior Technician
- Lagrange, GA
National Provider Identifier
1205730447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 26-2852588
- Practice address
- 90 Spring St Apt 201
Lagrange, GA 30240-1791 - Phone
- (762) 308-1752
- NPI assigned
- Oct 2, 2026
- Last updated
- Oct 2, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 26-2852588 | GA | Primary |
Addresses
Primary practice location
90 Spring St Apt 201
Lagrange, GA 30240-1791
Mailing address
90 Spring St Apt 201
Lagrange, GA 30240-1791
Phone (762) 308-1752
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790899200000",
"number": "1205730447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 SPRING ST APT 201",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302401791",
"telephone_number": "762-308-1752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 SPRING ST APT 201",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302401791",
"telephone_number": "762-308-1752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "SHAQUAVIA",
"middle_name": "KIANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-10-02",
"last_updated": "2026-10-02",
"certification_date": "2026-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "GA",
"license": "26-2852588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lagrange, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.