Active NPI
Alexus Jakai Smith, BCABA
- Assistant Behavior Analyst
- Prairieville, LA
National Provider Identifier
1750885364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- License
- C-102
- Practice address
- 17520 Old Jefferson Hwy
Prairieville, LA 70769-3903 - Phone
- (225) 300-6710
- Fax
- (225) 300-6712
- NPI assigned
- Mar 19, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Assistant Behavior Analyst | 106E00000X | C-102 | LA | Primary |
Addresses
Primary practice location
17520 Old Jefferson Hwy
Prairieville, LA 70769-3903
Mailing address
1911 Stonegate CT
Baton Rouge, LA 70815-5467
Phone (601) 938-3230
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
| License | State | Type | Specialty |
|---|---|---|---|
| C-102 | LA | MD | Assistant Behavior Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulf South BR - ABA, LLC | 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.
-
- Clinical Child & Adolescent Psychologist
- Baton Rouge, LA
- NPI 1871089763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674777600000",
"number": "1750885364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1911 STONEGATE CT",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708155467",
"telephone_number": "601-938-3230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17520 OLD JEFFERSON HWY",
"city": "PRAIRIEVILLE",
"state": "LA",
"postal_code": "707693903",
"telephone_number": "225-300-6710",
"fax_number": "225-300-6712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "ALEXUS",
"middle_name": "JAKAI",
"credential": "BCABA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-19",
"last_updated": "2023-01-27",
"certification_date": "2023-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "LA",
"license": "C-102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prairieville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.