Latrice Smalls, RBT

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-23-69970 Issued in SC

Practice address

2810 Ashley Phosphate Rd
North Charleston, SC 29418-6405

Phone

(843) 813-1538

NPI assigned

Jul 27, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1821761891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 ASHLEY PHOSPHATE RD",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294186405",
            "telephone_number": "843-813-1538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 ASHLEY PHOSPHATE RD",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294186405",
            "telephone_number": "843-813-1538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALLS",
        "first_name": "LATRICE",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-27",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "SC",
            "license": "RBT-17-34789",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "SC",
            "license": "1-23-69970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sleepmed Therapies, Inc.
• Tanya Sloan, LPC
• Edwin F Slott, MD
• Shawn Patrick Sluss, PHARMD
• Jazmine Smalls
• Smartcare Operations Group
• John Lee Smear, M.D.
• Smileology Dental Clinic, Inc.
• Madison Grace Smiley
• Alexis Smith, BCBA

• Behavior Analyst in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Behavior Analyst in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.