Shannan Nicole Smith, BA, BCABA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

0-02-0510 Issued in FL

Practice address

1524 Kansas Ave
Palm Harbor, FL 34683-3639

Phone

(813) 468-3507

NPI assigned

Sep 30, 2009

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

Credentials

Bachelor of Arts

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254268800000",
    "number": "1295069748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 KANSAS AVE",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346833639",
            "telephone_number": "813-468-3507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 KANSAS AVE",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346833639",
            "telephone_number": "813-468-3507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHANNAN",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "BA, BCABA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-30",
        "last_updated": "2009-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "0-02-0510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Smith
• Lawrence J Smith, APRN-C, DC
• Mary Ann Smith
• Ryan Alexander Smith, D.C.
• Samantha Smith
• William Patrick Smith, LCSW
• Sneh Gupta MD PA
• SNH Fla Tenant LLC
• SNH SE Tenant TRS, Inc
• SNS Healthcare LLC

• Behavior Analyst in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; 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.