Diandria Smith, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-52366 Issued in OK

Practice address

4127 NW 122ND St Ste C
Oklahoma City, OK 73120-8880

Phone

(405) 455-6868

Fax

(405) 562-3444

NPI assigned

Mar 4, 2014

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

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": "1393891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1689099384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17613 CRANBROOK RD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730126954",
            "telephone_number": "405-519-3170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4127 NW 122ND ST STE C",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208880",
            "telephone_number": "405-455-6868",
            "fax_number": "405-562-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DIANDRIA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-04",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OK",
            "license": "1-21-52366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Blake Smith, PHARMD
• David Wayne Smith
• David William Smith, M.D.
• Dawsyn Wade Smith, DO
• Delaney Smith
• Dillon Smith, LPC CANDIDATE
• Don Clairl Smith
• Donald M Smith, DDS
• Donna Smith
• E. Michael Smith, MD

• Behavior Analyst in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Behavior Analyst in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.