Craig Warne Smallwood, MS, LBS

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BH000182 Issued in PA

Practice address

221 Mahantongo St
Pottsville, PA 17901-3010

Phone

(570) 573-9178

NPI assigned

May 11, 2015

Reactivated

Nov 29, 2022

Last updated

Nov 29, 2022By the provider in NPPES

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1659759645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 MAHANTONGO ST",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179013010",
            "telephone_number": "570-573-9178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 MAHANTONGO ST",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179013010",
            "telephone_number": "570-573-9178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALLWOOD",
        "first_name": "CRAIG",
        "middle_name": "WARNE",
        "credential": "MS, LBS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-11",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "deactivation_date": "2019-09-12",
        "reactivation_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH000182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rajendra Singh, MD
• Satish C Singla, M.D.
• Joann Sites
• Daniel David Slotterback, ATC, CSCS
• Stephen O Slusser, M.D.
• Michael Smink, D.M.D.
• Heather L Smith, CRNP
• Mike R Smith, LPT
• Julie Lynn Marsh Snyder, OD
• Melissa J. Snyder, CRNP

• Behavior Analyst in Pottsville, PA
• Providers in Pottsville, PA by specialty
• Behavior Analyst in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.