Canyon Smith

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

12476576 Issued in TX

Practice address

29543 Autumn Copper
Bulverde, TX 78163-2615

Phone

(575) 749-9033

NPI assigned

Jun 12, 2022

Last updated

Jun 9, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1654992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1619607868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29543 AUTUMN COPPER",
            "city": "BULVERDE",
            "state": "TX",
            "postal_code": "781632615",
            "telephone_number": "575-749-9033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29543 AUTUMN COPPER",
            "city": "BULVERDE",
            "state": "TX",
            "postal_code": "781632615",
            "telephone_number": "575-749-9033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CANYON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-12",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "12476576",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NM",
            "license": "BACB794096",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080313",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "csmith@k-nowsolutions.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2108 Ralph Boone",
            "city": "Clovis",
            "state": "NM",
            "country_code": "US",
            "postal_code": "881019029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Serenity Fields
• Ashley Settle, RN
• Amy Patrice Shea, OTR
• Gordon Wayne Sixty, PH.D.
• SJRC Texas, Inc.
• Smithson Valley Counseling Center, Inc.
• Scott Gordon Stafford, D.D.S.
• Alexandria Steinmetz
• Kierstn Jane Stolhandske, DC
• Leslie F Stork, M.D.

• Behavior Analyst in Bulverde, TX
• Providers in Bulverde, TX by specialty
• Behavior Analyst in Texas

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