Laura Rebecca Smith, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-13-12782 Issued in CA

Practice address

970 Calle Amanecer Ste a
San Clemente, CA 92673-6250

Phone

(949) 322-6021

NPI assigned

May 1, 2013

Sex

Female

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)

Not enrolled

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1619312873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16946 SHERMAN WAY",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063613",
            "telephone_number": "818-401-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 CALLE AMANECER STE A",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736250",
            "telephone_number": "949-322-6021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16946 Sherman Way",
            "address_purpose": "LOCATION",
            "city": "Van Nuys",
            "state": "CA",
            "postal_code": "914063613",
            "country_code": "US",
            "telephone_number": "818-401-0661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "170 McAulay Pl",
            "address_purpose": "LOCATION",
            "city": "Laguna Beach",
            "state": "CA",
            "postal_code": "926513941",
            "country_code": "US",
            "telephone_number": "949-322-6021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LAURA",
        "middle_name": "REBECCA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-01",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-13-12782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela N Skorstad, PSY.D.
• Lauren Slak
• Alexandra Smith
• Julie Ann Smith
• Julie Lyn Smith, ACSW
• Randall Martin Smith, M.A.
• Shawn Smith
• William Harris Smith II, PA-C
• Jamie Smullin, M.S., CCC- SLP
• Elyse Edler Snipes, M.A.

• Behavior Analyst in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; 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.