Active NPI
Tyler Alan Smith, M.A., BCBA, LBA
- Behavior Analyst
- Cranston, RI
National Provider Identifier
1932965431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- LBA00267
- Practice address
- 45 Sockanosset Cross Rd # 100
Cranston, RI 02920-5529 - Phone
- (401) 409-2608
- NPI assigned
- Feb 23, 2024
- Last updated
- Feb 23, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | LBA00267 | RI | Primary |
Addresses
Primary practice location
45 Sockanosset Cross Rd # 100
Cranston, RI 02920-5529
Mailing address
23 Benefit St Apt 19
Warwick, RI 02886-6715
Phone (860) 481-0793
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LBA00267 | RI | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bierman ABA Inc. | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
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.
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Behavior Analyst
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708646400000",
"number": "1932965431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 BENEFIT ST APT 19",
"city": "WARWICK",
"state": "RI",
"postal_code": "028866715",
"telephone_number": "860-481-0793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 SOCKANOSSET CROSS RD # 100",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029205529",
"telephone_number": "401-409-2608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "TYLER",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"credential": "M.A., BCBA, LBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-02-23",
"last_updated": "2024-02-23",
"certification_date": "2024-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "RI",
"license": "LBA00267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cranston, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.