Collin Thomas Smith

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

42535167 Issued in TX

Practice address

14058 Memorial Dr
Houston, TX 77079-6848

Phone

(281) 752-0403

NPI assigned

Jun 3, 2021

Sex

Male

Sole proprietor

Yes

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

State licenses

Practice roles

Locations

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.

• Amazing & Creative Therapy on the Spectrum LLC

  • Behavior Analyst
  • Houston, TX
  • NPI 1770120719
  NPD

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1891361499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 WAX MYRTLE LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770793772",
            "telephone_number": "713-205-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14058 MEMORIAL DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770796848",
            "telephone_number": "281-752-0403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "COLLIN",
        "middle_name": "THOMAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-03",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "42535167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher K Smith, MD
• Christopher P Smith, M.D.
• Chundra Renee Smith
• Cierrah Arik Smith
• Claudius Gregory Smith, MD
• Corinne Lantier Smith
• Craig Smith, MD
• Crystal Monae Smith, OTR
• Curtrell L Smith, FNP-C
• Cynthia Ann Smith, M.S., NRCMA

• Behavior Technician in Houston, TX
• Providers in Houston, TX by specialty
• Behavior Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.