Kaitlyn Jan Smith, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-23-68828 Issued in GA

Practice address

1274 Joe Frank Harris Pkwy SE
Cartersville, GA 30120-4211

Phone

(470) 473-5920

Fax

(888) 979-8504

NPI assigned

Jun 2, 2023

Last updated

May 18, 2026By 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

Locations

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.

• North Georgia Autism Center LLC.

  • Behavior Analyst
  • Woodstock, GA
  • NPI 1578048385
  NPD
• Blue Skies ABA, Inc.

  • Behavior Analyst
  • Blue Ridge, GA
  • NPI 1396261731
  NPD (past)

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1255024394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9940 HIGHWAY 92",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301886417",
            "telephone_number": "770-833-5762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1274 JOE FRANK HARRIS PKWY SE",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301204211",
            "telephone_number": "470-473-5920",
            "fax_number": "888-979-8504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Applewood Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Dalton",
            "state": "GA",
            "postal_code": "307202699",
            "country_code": "US",
            "telephone_number": "706-250-9372",
            "fax_number": "706-343-9939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KAITLYN",
        "middle_name": "JAN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-02",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "1-23-68828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Slocum, DMD
• Terry Slocum, DMD
• Benjamin R Smith, M.D.
• Charles Young Smith, RPH
• Jennifer Scholz Smith, PSY.D.
• Katrina Marie Smith, DPT
• Michael Brad Smith
• Nancy Willis Smith, NP-C
• Rachel Patricia Smith
• Valerie Braden Smith, CNM

• Behavior Analyst in Cartersville, GA
• Providers in Cartersville, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.