Callie Grace Smith

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

060292967 Issued in GA

Practice address

102 Marsh Harbour Pkwy Ste 104
Kingsland, GA 31548-6755

Phone

(855) 444-5664

NPI assigned

Oct 23, 2025

Last updated

Oct 23, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

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.

• Applied Behavioral Strategies, LLC

  dba Cultivate Behavioral Health and Education

  • Behavior Analyst
  • Fairfield, CT
  • NPI 1396048583

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1761177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1265300164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4304 GRAND POINTE WAY # 4304",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315253520",
            "telephone_number": "855-444-5664",
            "fax_number": "855-444-5664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 MARSH HARBOUR PKWY STE 104",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315486755",
            "telephone_number": "855-444-5664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CALLIE",
        "middle_name": "GRACE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-23",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": "060292967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marsha Shackelford, PT
• Terri Lynn Shiels, RPH
• Caitlin Shirley
• Ashley Marie Silva
• Sherry Sloan, APC
• Sorinity Support Services, LLC
• Shauna Soule, LCSW
• Southeast Georgia Counseling & Play Therapy, LLC
• Southeast Treatment Center LLC
• Spine Center of Southeast Georgia LLC

• Behavior Technician in Kingsland, GA
• Providers in Kingsland, GA by specialty
• Behavior Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; 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.