Loren Michelle Smith, MA, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-18-33781 Issued in FL

Practice address

8382 Baymeadows Rd Ste 9
Jacksonville, FL 32256-7436

Phone

(904) 755-0646

NPI assigned

Nov 28, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Loren Michelle Signer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

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.

• Florida Autism Center

  • Behavior Analyst
  • Jacksonville, FL
  • NPI 1386163004
  NPD (past)
• Shining Stars Applied Behavior Analysis Corp.

  • Community/Behavioral Health Agency
  • Jacksonville, FL
  • NPI 1346787728
  NPD (past)

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

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1548703341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8382 BAYMEADOWS RD STE 9",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567436",
            "telephone_number": "904-755-0646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8382 BAYMEADOWS RD STE 9",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567436",
            "telephone_number": "904-755-0646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1135 Beach Blvd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville Beach",
            "state": "FL",
            "postal_code": "322503445",
            "country_code": "US",
            "telephone_number": "904-372-9082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LOREN",
        "middle_name": "MICHELLE",
        "credential": "MA, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-28",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-18-33781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOREN",
            "last_name": "SIGNER",
            "middle_name": "MICHELLE",
            "credential": "MA,BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lauren Smith
• Leslie Smith, ARNP-BC
• Lindsay Hanke Smith, DPT, ATC
• Lisa J Smith, ARNP
• Logan Smith, PHARMD
• Lynn Renee Smith, MPT, ATC
• Mansfield Smith
• Margaret Smith, APRN
• Mark Anthony Smith, M.D.
• Mark Robert Smith, PT

• Behavior Analyst in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.