Bailey D. Smith

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-24-352298 Issued in AZ

Practice address

18521 E Queen Creek Rd Ste 105-627
Queen Creek, AZ 85142-5870

Phone

(480) 361-1025

Fax

(480) 814-7488

NPI assigned

Jun 10, 2024

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Positive ABA

  • Behavior Analyst
  • Queen Creek, AZ
  • NPI 1891175543
  NPD (past)
• Positiveaba

  • Behavior Analyst
  • Queen Creek, AZ
  • NPI 1003064171
  NPD (past)

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1669214722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18521 E QUEEN CREEK RD STE 105-627",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851425870",
            "telephone_number": "480-361-1025",
            "fax_number": "480-814-7488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18521 E QUEEN CREEK RD STE 105-627",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851425870",
            "telephone_number": "480-361-1025",
            "fax_number": "480-814-7488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BAILEY",
        "middle_name": "D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "AZ",
            "license": "RBT-24-352298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Colette Mary Smiley, M.F.T.
• Erica Renee Smith
• McKenna Leigh Smith
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• Smiths Food & Drug Centers Inc
• Richard Snaith

• Behavior Technician in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• Behavior Technician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.