Zol-Licia Smith

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

110 Church St
Philadelphia, PA 19106-2201

Phone

(267) 807-0550

NPI assigned

Apr 11, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Elevated Kids

  • Behavior Analyst
  • Philadelphia, PA
  • NPI 1871128850

  Behavior Technician

  NPD

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

{
    "created_epoch": "1712793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1750134359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 NORMAN LN",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080461319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CHURCH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191062201",
            "telephone_number": "267-807-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ZOL-LICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-11",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Lynn Smith
• Whitney Renee Smith, MD
• William R Smith V, MD, PHD
• Zachary Allen Smith
• Zachary Ryan Smith, DO
• Elayne Smithen Ramos, D.M.D
• Judith Smithey, BCBA
• Smiths Pharmacy II
• Smiths Pharmacy III Inc
• Helen Lananne Smithvaldivia, COTA

• All providers in Philadelphia, PA
• Behavior Technician in Pennsylvania

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