Khandice Chantee Smith

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

7522 Issued in TX

Practice address

920 Highway 352 Ste 200
Mesquite, TX 75149-6806

Phone

(817) 557-8040

NPI assigned

Nov 25, 2019

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

State licenses

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1922644905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 COMMERCIAL BLVD N",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760017119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 HIGHWAY 352 STE 200",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751496806",
            "telephone_number": "817-557-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KHANDICE",
        "middle_name": "CHANTEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-25",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "7522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Smith, LCSW
• Carita Lashon Smith
• Cressan Smith, MS, LPC
• Hope Smith, CCC-SLP
• Kenchelle S Smith
• Ronald K Smith, O.D.
• Sara Bonita Smith
• Susan Allen Smith
• Susan Banuelos Smith, MS RD LD CDE
• Snappy Lab Services

• Behavior Analyst in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.