Christine Smith
Individual provider Active NPI Behavior Technician · Daleville, IN
NPI 1902605694 · NPPES record last updated Mar 13, 2025
Key facts
- NPI
- 1902605694
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-24-388111 (IN)
- Practice address
- 9301 S Innovation Dr Ste 103
Daleville, IN 47334-9517 - Phone
- (574) 387-4313
- Fax
- (574) 204-2868
- NPI assigned
- Mar 13, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-24-388111 | IN | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-24-388111 | IN | Yes |
Addresses
Primary practice location
9301 S Innovation Dr Ste 103
Daleville, IN 47334-9517
Mailing address
215 Red Coach Dr
Mishawaka, IN 46545-8307
Phone (574) 387-4313
Other providers in Daleville, IN
- Chrystal Savage
- Jayla Scaife
- Cynthia Silvers
- Jessica Slaven
- Bree Smith
- Elissa Smith
- Snug Harbor Home Health,Inc
- Savannah Spencer
- Kayla Stephenson
- Michelle Tames
All providers in Daleville, IN · Behavior Technician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.