Active NPI
Taylor Smith
- Behavior Analyst
- Killeen, TX
National Provider Identifier
1366056657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 7768
- Practice address
- 2104 Clear Creek Rd
Killeen, TX 76549 - Phone
- (254) 330-1177
- NPI assigned
- Sep 3, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 7768 | TX | Primary |
Addresses
Primary practice location
2104 Clear Creek Rd
Killeen, TX 76549
Mailing address
2104 Clear Creek Rd
Killeen, TX 76549
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7768 | TX | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734566400000",
"number": "1366056657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2104 CLEAR CREEK RD",
"city": "KILLEEN",
"state": "TX",
"postal_code": "76549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2104 CLEAR CREEK RD",
"city": "KILLEEN",
"state": "TX",
"postal_code": "76549",
"telephone_number": "254-330-1177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "TAYLOR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-03",
"last_updated": "2024-12-19",
"certification_date": "2024-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "7768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Killeen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.