Kaitlyn Lee Smith, M.S., BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-17-27410 Issued in TX

Practice address

1702 N Collins Blvd Ste 250
Richardson, TX 75080-3655

Phone

(972) 746-9012

NPI assigned

Sep 25, 2017

Last updated

Jan 11, 2023By the provider in NPPES

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

Other names 1

• Ms. Kaitlyn Lee Staffieri Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1730698432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 N COLLINS BLVD STE 250",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803655",
            "telephone_number": "972-746-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 N COLLINS BLVD STE 250",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803655",
            "telephone_number": "972-746-9012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5400 W Plano Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750934855",
            "country_code": "US",
            "telephone_number": "972-587-2300",
            "fax_number": "972-587-2304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KAITLYN",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "M.S., BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-25",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1142",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-17-27410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLYN",
            "last_name": "STAFFIERI",
            "middle_name": "LEE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Corey Jason Smith, M.D.
• Courtney Michele Smith, LMHC, LPC, RPT
• Ellawese Yvonne Smith, M.D.
• Georgia Paulette Smith, M.A, LPC-SUPERVISOR
• Gladys Smith
• Laketta Smith
• Lauren Dalton Smith, MA LPC
• Loreal Smith
• Melissa Smith, RD
• Mya Leola Smith

• Behavior Analyst in Richardson, TX
• Providers in Richardson, TX by specialty
• Behavior Analyst in Texas

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