Active NPI
William Smith
- Behavior Technician
- Prattville, AL
National Provider Identifier
1407434152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-21-162409
- Practice address
- 215 Deer Run Dr
Prattville, AL 36067-3835 - Phone
- (334) 363-3359
- Fax
- (334) 625-1853
- NPI assigned
- Apr 1, 2021
- Last updated
- Mar 3, 2022
- Sex
- Male
- 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 Technician | 106S00000X | RBT-21-162409 | AL | Primary |
Addresses
Primary practice location
215 Deer Run Dr
Prattville, AL 36067-3835
Mailing address
2751 Legends Parkway
PMB 102
Prattville, AL 36066
Phone (334) 363-3359
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 |
|---|---|---|---|
| RBT-21-162409 | AL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridgeway ABA Therapy, LLC | Current | Accepting new patients |
Locations
2751 Legends Pkwy
Prattville, AL 36066
Phone (478) 972-6008
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
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": []
}Other providers in Prattville, AL
- 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 (Southeastern Balance Centers of Prattville)
- Southern Orthopaedic Surgeons, LLC
- Selena Victoria Spires
Sources for this page
- 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.