Individual provider Active NPI

Mikailah Smith

  • Behavior Analyst
  • Shreveport, LA
National Provider Identifier
1932765559
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
L-1003 Issued in LA
Practice address
7330 Fern Ave Ste 1103
Shreveport, LA 71105-4989
Phone
(318) 606-5706
NPI assigned
May 20, 2019
Last updated
Jul 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X L-1003 LA Primary

Addresses

Primary practice location

7330 Fern Ave Ste 1103
Shreveport, LA 71105-4989

Mailing address

2220 Dove Hollow Dr
Shreveport, LA 71118-5211
Phone (318) 461-5294

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
L-1003LAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Sara Kate Warren, CCC-SLP, LLC CurrentSince Jul 22, 2025 Accepting new patients
Unlimited Alternatives to Change, LLC Past Accepting new patients
Volunteers of America of North Louisiana PastSince Sep 1, 2022 Accepting new patients
Mildred Eual Center Inc Past Accepting new patients

Locations

7330 Fern Ave
Ste 1103
Shreveport, LA 71105
Phone (318) 264-8818

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1932765559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 DOVE HOLLOW DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711185211",
            "telephone_number": "318-461-5294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7330 FERN AVE STE 1103",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711054989",
            "telephone_number": "318-606-5706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MIKAILAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-20",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "LA",
            "license": "L-1003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; 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.