Mary A Smith, BCABA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

0-07-2350

Practice address

302 Wesley St Ste 1
Johnson City, TN 37601-1741

Phone

(423) 282-1700

Fax

(423) 282-9319

NPI assigned

Oct 21, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1256083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256083200000",
    "number": "1881920122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 WESLEY ST STE 1",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376011741",
            "telephone_number": "423-282-1700",
            "fax_number": "423-282-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 WESLEY ST STE 1",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376011741",
            "telephone_number": "423-282-1700",
            "fax_number": "423-282-9319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARY",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "BCABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-21",
        "last_updated": "2009-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "0-07-2350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Hope Smith
• Lindsey Smith, N.P.-C
• Lora Ann Smith, RN
• Lori Smith
• Lou M. Smith, M.D.
• Michael David Smith, NURSE PRACTITIONER
• Miranda Rose Smith, NNP
• Mistty Smith, LPC-MHSP
• Paula Renee Smith, M.D.
• Raymond Shane Smith, PA-C

• Behavior Analyst in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Behavior Analyst in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; 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.