Jessica Smith

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

6421 Camp Bowie Blvd Ste 100
Fort Worth, TX 76116-5419

Phone

(817) 353-2090

NPI assigned

Sep 3, 2025

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

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

{
    "created_epoch": "1756857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1275413015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6421 CAMP BOWIE BLVD STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761165419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6421 CAMP BOWIE BLVD STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761165419",
            "telephone_number": "817-353-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-03",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanette Tello Smith, LSSP
• Jeffrey M Smith, LPC
• Jeremy Smith, RN
• Jeremy Smith
• Jesse E Smith, MD
• Jimmy Dale Smith, PT, DPT
• Jo Bartell Smith, LPA
• John Smith, MMFT
• John Houston Smith, MD10
• Jordan Smith

• Behavior Technician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Behavior Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.