Individual provider Active NPI

Emily Smith, MA, BCBA, LBA

  • Behavior Analyst
  • Ferndale, MI
National Provider Identifier
1609426535
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
7401002521 Issued in MI
Practice address
3178 Hilton Rd
Ferndale, MI 48220-1059
Phone
(248) 692-4600
NPI assigned
Sep 12, 2019
Last updated
Dec 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Technician/Technologist 156F00000X
Behavior Analyst 103K00000X 7401002521 MI Primary

Addresses

Primary practice location

3178 Hilton Rd
Ferndale, MI 48220-1059

Mailing address

51275 Village Edge E Apt 108
Chesterfield, MI 48047-1323
Phone (248) 762-1636

Other practice location 1

42450 Hayes Rd Ste 3A
Clinton Township, MI 48038-6769
Phone (248) 629-4600

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
7401002521MIMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Lifelab Kids Foundation Behavior Analyst CurrentSince Dec 22, 2024 Accepting new patients

Locations

3178 Hilton Rd
Ferndale, MI 48220
Phone (248) 331-2744

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": "1568246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1609426535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51275 VILLAGE EDGE E APT 108",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480471323",
            "telephone_number": "248-762-1636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3178 HILTON RD",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201059",
            "telephone_number": "248-692-4600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42450 Hayes Rd Ste 3A",
            "address_purpose": "LOCATION",
            "city": "Clinton Township",
            "state": "MI",
            "postal_code": "480386769",
            "country_code": "US",
            "telephone_number": "248-629-4600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "EMILY",
        "credential": "MA, BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-12",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "7401002521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ferndale, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.