Active NPI
Megan Davis Smith, BCBA
- Behavior Analyst
- South Ogden, UT
National Provider Identifier
1992279913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 123821802506
- Practice address
- 5974 Fashion Point Dr
South Ogden, UT 84403-4699 - Phone
- (801) 683-1062
- NPI assigned
- Jan 12, 2019
- Last updated
- Jul 20, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 123821802506 | UT | MD | Behavioral Analyst |
| RBT-18-53282 | UT | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New 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.