Amber Mendres Smith, MA, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-10-6784 Issued in MD

Practice address

137 Kentucky Ave
Pasadena, MD 21122-5400

Phone

(443) 305-2276

Fax

(443) 817-2375

NPI assigned

Nov 25, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Amber Elizabeth Mendres-Smith Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Behavior Training Consultatnts LLC

  • Behavior Analyst
  • Pasadena, MD
  • NPI 1972880730
  NPD (past)

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

{
    "created_epoch": "1353801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353801600000",
    "number": "1801130273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 KENTUCKY AVE",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211225400",
            "telephone_number": "443-305-2276",
            "fax_number": "443-817-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 KENTUCKY AVE",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211225400",
            "telephone_number": "443-305-2276",
            "fax_number": "443-817-2375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AMBER",
        "middle_name": "MENDRES",
        "name_prefix": "Mrs.",
        "credential": "MA, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-25",
        "last_updated": "2012-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MD",
            "license": "1-10-6784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "MENDRES-SMITH",
            "middle_name": "ELIZABETH",
            "prefix": "MRS.",
            "credential": "MA, BCBA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ian E Shuman, DDS
• James Raleigh Sims Jr., PHARMD
• Victoria Skillman
• Ian K Slepian, M.D.
• Smile Sisters, LLC
• Desiree Smith, AGNP-C
• Gracemarie Smith, RPH
• Kevon Smith
• Tracy Elaine Soltesz, LAC
• Someone 2 Talk 2, LLC

• Behavior Analyst in Pasadena, MD
• Providers in Pasadena, MD by specialty
• Behavior Analyst in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2012; 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.