Active NPI
Okeem Charlie Smith
- Behavior Technician
- Colton, CA
National Provider Identifier
1679413702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 930 S Mount Vernon Ave Ste 90
Colton, CA 92324-3928 - Phone
- (909) 660-0097
- NPI assigned
- Mar 30, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | CA | Primary |
Addresses
Primary practice location
930 S Mount Vernon Ave Ste 90
Colton, CA 92324-3928
Mailing address
930 S Mount Vernon Ave Ste 90
Colton, CA 92324-3928
Phone (909) 660-0097
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Masssvcs LLC | Behavior Technician | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774828800000",
"number": "1679413702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "930 S MOUNT VERNON AVE STE 90",
"city": "COLTON",
"state": "CA",
"postal_code": "923243928",
"telephone_number": "909-660-0097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 S MOUNT VERNON AVE STE 90",
"city": "COLTON",
"state": "CA",
"postal_code": "923243928",
"telephone_number": "909-660-0097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "OKEEM",
"middle_name": "CHARLIE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-03-30",
"last_updated": "2026-03-30",
"certification_date": "2026-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.