Tamika Smith
Individual provider Active NPI Behavior Technician · Pine Mountain, GA
NPI 1962329607 · NPPES record last updated Jul 2, 2026
Key facts
- NPI
- 1962329607
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 3980 Piedmont Lake Rd
Pine Mountain, GA 31822-3559 - Phone
- (706) 230-6020
- NPI assigned
- Jul 2, 2026
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
3980 Piedmont Lake Rd
Pine Mountain, GA 31822-3559
Mailing address
3415 Bataan Memorial W
Las Cruces, NM 88012-5012
Phone (505) 392-3482
Other providers in Pine Mountain, GA
- Pine Mountain Pharmacy, Inc
- Veta Rhonda Rodriguez
- Jeffery A. Russell
- Josh B Seward
- Christy Meacham Smith
- Spine Mountain Physical Therapy and Wellness Studio
- Charles Iverson Storey III
- Malcolm Tatum
- Torianna Jabre Tucker
- Timothy Turco
All providers in Pine Mountain, GA · Behavior Technician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2026. 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.