Elizabeth Smith, M.ED

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-19-39360

Practice address

7972 Robinson Dr
Roseville, CA 95747-6707

Phone

(210) 413-1242

NPI assigned

Jan 25, 2018

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

Credentials

Master of Education

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 and National Provider Directory roles.

• Alpha Autism Therapy, LLC

  • Behavior Analyst
  • Edmond, OK
  • NPI 1649917394
  NPD (past)

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1285132183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7972 ROBINSON DR",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957476707",
            "telephone_number": "210-413-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7972 ROBINSON DR",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957476707",
            "telephone_number": "210-413-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ELIZABETH",
        "credential": "M.ED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-25",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "00001734",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-19-39360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smith Family Medicine
• Amber Michelini Smith, MFT INTERN
• Courtney Jean Smith, MSW
• Devante Lee Smith
• Elena Michele Smith
• G. Jeffrey Smith, MD
• Gary A Smith, MD
• Geoffrey Landon Smith, LMFT
• Gigi Maria Smith, MBA, PMP
• Gregory Ross Smith, D.D.S.

• Behavior Analyst in Roseville, CA
• Providers in Roseville, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.