Evonney Smith

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

5762 Issued in TX

Practice address

4460 S FM 1626 Ste 300
Kyle, TX 78640-2976

Phone

(737) 404-3800

NPI assigned

May 25, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1225603863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4460 S FM 1626 STE 300",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786402976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4460 S FM 1626 STE 300",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786402976",
            "telephone_number": "737-404-3800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3944 Ranch Road 620 S Ste 201",
            "address_purpose": "LOCATION",
            "city": "Bee Cave",
            "state": "TX",
            "postal_code": "787387166",
            "country_code": "US",
            "telephone_number": "512-593-5195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "EVONNEY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-25",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "5762",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SJC Medical Group LLC
• David Brian Slaughter, PT
• Logan Slaughter
• Sleep Better Austin Treatment PLLC
• Aurora Leilani Smith
• Marissa Nichole Smith
• Michaela Smith, RBT
• Peyton Smith, RBT
• Shawna Elle Smith, RBT
• Theodore D Smith, DO

• Behavior Analyst in Kyle, TX
• Providers in Kyle, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.