Christine Smith

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

484 Worcester St
Southbridge, MA 01550-1409

Phone

(774) 318-1806

Fax

(508) 471-5389

NPI assigned

Jul 13, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Christine Walker Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1992323240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 DOLGE CT",
            "city": "OXFORD",
            "state": "MA",
            "postal_code": "015402010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 WORCESTER ST",
            "city": "SOUTHBRIDGE",
            "state": "MA",
            "postal_code": "015501409",
            "telephone_number": "774-318-1806",
            "fax_number": "508-471-5389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-13",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "WALKER",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Krishnaveni Sirigaddi, MD
• Jill Robin Siskind, APRN
• Janet B Small, CADAC
• Smiles Big and Small, Inc
• Brian Earl Smith, LMHC
• Debra Smith, DEV. SPECIALIST
• Jessica Ashley Smith, BSW
• Marianne Leigh Smith, M.D.
• Kayla Smolen
• Lexie Soja

• Behavior Technician in Southbridge, MA
• Providers in Southbridge, MA by specialty
• Behavior Technician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; 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.