Benjamin Smith, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-19-39620 Issued in CA

Practice address

1001 E Cooley Dr Ste 108
Colton, CA 92324-3941

Phone

(310) 388-7365

NPI assigned

May 11, 2020

Last updated

Jul 9, 2025By the provider in NPPES

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)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Breaking Barriers Insititute LLC

  • Behavior Analyst
  • Colton, CA
  • NPI 1578173050
  NPD Authorized official

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

{
    "created_epoch": "1589155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1609498823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E COOLEY DR STE 108",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E COOLEY DR STE 108",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243941",
            "telephone_number": "310-388-7365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BENJAMIN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-11",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-19-39620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lizette Calingasan Sistoza, MD
• Ishak Sitanggang
• John Skaf
• Sindia Lucia Slack
• Deborah Elizabeth Small, MD
• Clayton N Smith Jr., CRNA
• Gregory Vincent Smith, REGISTERED STUDENT
• Larhonda M Smith, SLP
• Okeem Charlie Smith
• Roy Daniel Smith

• Behavior Analyst in Colton, CA
• Providers in Colton, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.