Antwaun Smith

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

6709 Tierra Madre CT NW
Albuquerque, NM 87120-6007

Phone

(505) 430-0942

NPI assigned

Oct 16, 2024

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

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

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1609696202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6709 TIERRA MADRE CT NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871206007",
            "telephone_number": "505-430-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6709 TIERRA MADRE CT NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871206007",
            "telephone_number": "505-430-0942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ANTWAUN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Campbell Smith, MPT
• Anitra Smith
• Anna Jane Smith, PA-C
• Anthony Smith, MD
• Anthony Edward Smith, PTA
• Barbara Elizabeth Smith, RN
• Brian Goff Smith, M.D.
• Brigid Eileen Smith
• Camella K Smith
• Cameron Blayne Smith, DO

• Behavior Technician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Behavior Technician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.