William Smith

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-21-162409 Issued in AL

Practice address

215 Deer Run Dr
Prattville, AL 36067-3835

Phone

(334) 363-3359

Fax

(334) 625-1853

NPI assigned

Apr 1, 2021

Sex

Male

Sole proprietor

No

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

Locations

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.

• Bridgeway ABA Therapy, LLC

  • Behavior Analyst
  • Prattville, AL
  • NPI 1356926604
  NPD

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1407434152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 LEGENDS PARKWAY",
            "address_2": "PMB 102",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "36066",
            "telephone_number": "334-363-3359",
            "fax_number": "334-625-1853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 DEER RUN DR",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360673835",
            "telephone_number": "334-363-3359",
            "fax_number": "334-625-1853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "WILLIAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-01",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "AL",
            "license": "RBT-21-162409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shondas on Time Transportation LLC
• Clyde L Shown, CHIROPRACTOR
• Kaylee Simmons
• Krista Danielle Simpson, CRNP
• Melanie Smith, CAREGIVER
• Social Work Solutions
• Southeast Cancer Network Inc
• Southeastern Balance Centers LLC
• Southern Orthopaedic Surgeons, LLC
• Selena Victoria Spires

• Behavior Technician in Prattville, AL
• Providers in Prattville, AL by specialty
• Behavior Technician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; 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.