Jennifer Lynne Smith, PH.D., B.C.B.A.-D.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

2107 New Hampshire St
Lawrence, KS 66046-3047

Phone

(479) 206-3131

Fax

(855) 860-1954

NPI assigned

May 20, 2009

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

Other identifiers 1

Other names 1

• Dr. Jennifer Lynne Simon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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.

• Jennifer Lynne Simon PHD

  • Behavior Analyst
  • Lawrence, KS
  • NPI 1003178260
  NPD (past) Authorized official

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1760617740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 NEW HAMPSHIRE ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660463047",
            "telephone_number": "479-206-3131",
            "fax_number": "855-860-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 NEW HAMPSHIRE ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660463047",
            "telephone_number": "479-206-3131",
            "fax_number": "855-860-1954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JENNIFER",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "PH.D., B.C.B.A.-D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-20",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100407920A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SIMON",
            "middle_name": "LYNNE",
            "prefix": "DR.",
            "credential": "PH.D., B.C.B.A.-D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Aaliyah Smith
• Alexandra Smith
• Andrea Smith, PHARM.D.
• Benjamin Smith, D.O.
• Darrel Dean Smith, O.D.
• Jennifer Marie Smith, D.O.
• Jesse Smith, PHARM.D.
• Jody Katrina Smith, LMSW
• Johannah Noel Smith, LMSW
• Katherine L Smith, LCMFT

• Behavior Analyst in Lawrence, KS
• Providers in Lawrence, KS by specialty
• Behavior Analyst in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.