Individual provider Active NPI

Jlon Smith

  • Behavior Technician
  • Yorktown, VA
National Provider Identifier
1699556019
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
3630 George Washington Mem Hwy Ste D
Yorktown, VA 23693-3350
Phone
(757) 586-5252
Fax
(757) 586-5055
NPI assigned
Oct 11, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

3630 George Washington Mem Hwy Ste D
Yorktown, VA 23693-3350

Mailing address

3630 George Washington Mem Hwy Ste D
Yorktown, VA 23693-3350
Phone (757) 586-5252

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

OrganizationSpecialtyStatusNew patients
Abazing, LLC CurrentSince Jun 8, 2025 Accepting new patients

Locations

3630 George Washington Mem Hwy
Ste D
Yorktown, VA 23693
Phone (757) 586-5252

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": "1696982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1699556019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 GEORGE WASHINGTON MEM HWY STE D",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236933350",
            "telephone_number": "757-586-5252",
            "fax_number": "757-586-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 GEORGE WASHINGTON MEM HWY STE D",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236933350",
            "telephone_number": "757-586-5252",
            "fax_number": "757-586-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JLON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.