Individual provider Active NPI

Suan Shantae Smith

  • Behavior Technician
  • Coral Springs, FL
National Provider Identifier
1457106601
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-24-337359 Issued in FL
Practice address
7451 Wiles Rd Ste 107
Coral Springs, FL 33067-2040
Phone
(954) 893-2442
Fax
(954) 516-7631
NPI assigned
Apr 22, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-24-337359 FL Primary

Addresses

Primary practice location

7451 Wiles Rd Ste 107
Coral Springs, FL 33067-2040

Mailing address

6002 NW 88TH Ave
Tamarac, FL 33321-4270

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

LicenseStateTypeSpecialty
RBT-24-337359FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Pivotal Achievements LLC Behavior Technician CurrentSince Apr 28, 2024 Accepting new patients

Locations

7451 Wiles Rd
Ste 107
Coral Springs, FL 33067
Phone (954) 893-2442

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1457106601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6002 NW 88TH AVE",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333214270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7451 WILES RD STE 107",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330672040",
            "telephone_number": "954-893-2442",
            "fax_number": "954-516-7631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SUAN",
        "middle_name": "SHANTAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-22",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-24-337359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.