Individual provider Active NPI

Jamie Melissa Smith, BCBA

  • Behavior Analyst
  • Pompano Beach, FL
National Provider Identifier
1699077503
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
2748 Issued in NC
Practice address
226 NE 25TH Ave
Pompano Beach, FL 33062-4830
Phone
(219) 805-7275
NPI assigned
Nov 29, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1-16-21808
Medical Physician Assistant 363AM0700X
Behavior Analyst 103K00000X 2748 NC Primary

Addresses

Primary practice location

226 NE 25TH Ave
Pompano Beach, FL 33062-4830

Mailing address

226 NE 25TH Ave
Pompano Beach, FL 33062-4830
Phone (219) 805-7275

Other practice location 1

7862 Red Mahogany Rd
Boynton Beach, FL 33437-7530
Phone (561) 336-0358

Other practice location 2

8555 Taft St
Merrillville, IN 46410-6123
Phone (219) 769-4005

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

State licenses

LicenseStateTypeSpecialty
2748NCMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Strides Therapy Behavior Analyst 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": "1290988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1699077503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 NE 25TH AVE",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330624830",
            "telephone_number": "219-805-7275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 NE 25TH AVE",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330624830",
            "telephone_number": "219-805-7275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7862 Red Mahogany Rd",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334377530",
            "country_code": "US",
            "telephone_number": "561-336-0358",
            "fax_number": "561-424-8109",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8555 Taft St",
            "address_purpose": "LOCATION",
            "city": "Merrillville",
            "state": "IN",
            "postal_code": "464106123",
            "country_code": "US",
            "telephone_number": "219-769-4005",
            "fax_number": "219-769-2508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JAMIE",
        "middle_name": "MELISSA",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-29",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-16-21808",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "2748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.