Individual provider Active NPI

Megan Davis Smith, BCBA

  • Behavior Analyst
  • South Ogden, UT
National Provider Identifier
1992279913
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
123821802506 Issued in UT
Practice address
5974 Fashion Point Dr
South Ogden, UT 84403-4699
Phone
(801) 683-1062
NPI assigned
Jan 12, 2019
Last updated
Jul 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 106S00000X RBT-18-53282 UT
Behavior Analyst 103K00000X 123821802506 UT Primary

Addresses

Primary practice location

5974 Fashion Point Dr
South Ogden, UT 84403-4699

Mailing address

613 Cook Dr
Layton, UT 84041-3005
Phone (385) 777-6271

Other practice location 1

327 W Gordon Ave Ste 2
Layton, UT 84041-2381
Phone (801) 683-1062

Other names 1

  • Megan Davis Former name

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
123821802506UTMDBehavioral Analyst
RBT-18-53282UTMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurobehavioral Center for Growth LLC Single Specialty 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.

NPI Registry JSON

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

{
    "created_epoch": "1547251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1992279913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 COOK DR",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840413005",
            "telephone_number": "385-777-6271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5974 FASHION POINT DR",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844034699",
            "telephone_number": "801-683-1062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "327 W Gordon Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Layton",
            "state": "UT",
            "postal_code": "840412381",
            "country_code": "US",
            "telephone_number": "801-683-1062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MEGAN",
        "middle_name": "DAVIS",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-12",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": "UT",
            "license": "RBT-18-53282",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "UT",
            "license": "123821802506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "DAVIS",
            "credential": "RBT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in South Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.