DEANDRA SMITH (NPI# 1013326214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013326214 |
| Entity Type | Individual |
| Full Name | DEANDRA SMITH |
| Practice Address |
111 Bulifants Blvd Ste B Williamsburg VA 23188 |
| Mailing Address |
126 Cambridge Pl Hampton VA 23669-2410 |
| Practice Telephone | 7576453860 |
| Mailing Telephone | 4348066281 |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2018-10-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 222Q00000X | Developmental Therapist | T62056286 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 106S00000X | Behavior Technician | RBT-16-26722 | VA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 500 Fairway Dr Ste 102, Deerfield Beach, FL 334411817 | 8888809270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730731399 | Deandra Smith | Behavior Technician | 5 Revere Dr Ste 120, Northbrook, IL 60062-8005 | 2019-07-14 |
| 1700191426 | Deandra L. Smith | Nurse Practitioner | 1950 W Frye Rd, Chandler, AZ 85224-6255 | 2010-08-18 |
| Street Address |
111 BULIFANTS BLVD STE B |
| City | WILLIAMSBURG |
| State | VA |
| Zip Code | 23188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083248421 | Christopher White | Behavior Technician | 111 Bulifants Blvd Ste B, Williamsburg, VA 23188-5711 | 2020-02-25 |
| 1275188013 | Tiffany Patrice Dancy | Behavior Technician | 111 Bulifants Blvd Ste B, Williamsburg, VA 23188-5711 | 2019-08-08 |
| 1245793538 | Jordan Brown | Behavior Technician | 111 Bulifants Blvd Ste B, Williamsburg, VA 23188-5711 | 2019-04-12 |
| 1972078186 | Tameka Danielle Ferrell | Behavior Technician | 111 Bulifants Blvd Ste B, Williamsburg, VA 23188-5711 | 2018-10-04 |
| 1548763527 | Noel M Woolard | Behavioral Analyst | 111 Bulifants Blvd Ste B, Williamsburg, VA 23188-5711 | 2018-03-15 |
| 1639672611 | Mary Catherine Taylor Jones | Behavioral Analyst | 111 Bulifants Blvd Ste B, Williamsburg, VA 23188-5711 | 2018-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992287833 | Kathryn Goss Atanasov | Counselor | Farley Iop Williamsburg Place, 5477 Mooretown Road, Williamsburg, VA 23188 | 2018-09-06 |
| 1386180933 | Brittany Marie Purdy | Physical Therapist | 6425 Richmond Road, Williamsburg, VA 23188 | 2017-01-06 |
| 1770930745 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 6485 Centerville Rd, Williamsburg, VA 23188 | 2016-05-19 |
| 1073979738 | Sharon Harper | Social Worker | 4732 Longhill Road, Suite 3202, Williamsburg, VA 23188 | 2016-01-12 |
| 1710362819 | Diamond Healthcare | Social Worker | 5477 Mooretown Road, Williamsburg Place, Williamsburg, VA 23188 | 2015-07-30 |
| 1922489749 | Uc Davis Medical Center | General Acute Care Hospital | 3905 Cold Spring Rd, Williamsburg, VA 23188 | 2015-06-17 |
| 1255751590 | Lisa Marie Frazier | Counselor | 4345 New Town Ave. Ste. 107a, Williamsburg, VA 23188 | 2014-04-25 |
| 1972883569 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 7529 Richmond Rd, Williamsburg, VA 23188 | 2011-08-26 |
| 1720386816 | Harry Leon White | Pharmacist | 114 Molesey Hurst, Williamsburg, VA 23188 | 2011-03-14 |
| 1306169412 | Amber Beth Devore | Dietitian, Registered | 3200 Ironbound Road, Suite A, Williamsburg, VA 23188 | 2010-03-03 |
| Find all providers in zip 23188 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518472224 | Katja Kox-fishe | Behavior Technician | 356 Mclaws Cir Ste 2, Williamsburg, VA 23185-6345 | 2017-12-05 |
| 1083248421 | Christopher White | Behavior Technician | 111 Bulifants Blvd Ste B, Williamsburg, VA 23188-5711 | 2020-02-25 |
| 1285282863 | Elizabeth Houston | Behavior Technician | 356 Mclaws Cir Ste 2, Williamsburg, VA 23185 | 2019-08-28 |
| 1275188013 | Tiffany Patrice Dancy | Behavior Technician | 111 Bulifants Blvd Ste B, Williamsburg, VA 23188-5711 | 2019-08-08 |
| 1245793538 | Jordan Brown | Behavior Technician | 111 Bulifants Blvd Ste B, Williamsburg, VA 23188-5711 | 2019-04-12 |
| 1972078186 | Tameka Danielle Ferrell | Behavior Technician | 111 Bulifants Blvd Ste B, Williamsburg, VA 23188-5711 | 2018-10-04 |
| 1255831624 | Elisabeth Kostyk | Behavior Technician | 201 Bulifants Blvd Ste A, Williamsburg, VA 23188-5731 | 2018-02-13 |
| 1770091548 | Candace Miller | Behavior Technician | 356 Mclaws Cir Ste 2, Williamsburg, VA 23185-6345 | 2018-01-16 |
| 1063927929 | Leann Bennett | Behavior Technician | 356 Mclaws Cir Ste 2, Williamsburg, VA 23185-6345 | 2017-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699745 | Stepanie Rush | Behavior Technician | 602 Battle Ave, Winchester, VA 22601-5629 | 2020-11-06 |
| 1356942775 | Khalina Boyce | Behavior Technician | 8000 Towers Crescent Drive, 13th Floor, Vienna, VA 22182 | 2020-11-03 |
| 1982203139 | Cenata Alexandria Jackson | Behavior Technician | 7353 Whitepine Rd Bldg G, Richmond, VA 23237-2260 | 2020-10-20 |
| 1639776289 | Georgia Elizabeth Healy | Behavior Technician | 4740 Berrywood Rd, Virginia Beach, VA 23464-5868 | 2020-10-07 |
| 1245847607 | Olando Wayne Fuller | Behavior Technician | 2605 Eagle Rock Ct, Chester, VA 23831-7051 | 2020-09-29 |
| 1083220172 | Ariella Yvonne Ramirez | Behavior Technician | 2860 Myrtlewood Drive, Dumfries, VA 22026 | 2020-09-23 |
| 1124634084 | Jennifer Wheeler | Behavior Technician | 325 Woodards Ford Rd, Chesapeake, VA 23322-4348 | 2020-09-16 |
| 1992311955 | Sara Homer | Behavior Technician | 348 Southport Cir Ste 101, Virginia Beach, VA 23452-1181 | 2020-09-16 |
| 1578178877 | Jacqueline Villatoro | Behavior Technician | 124 Township Ct, Stephens City, VA 22655-2964 | 2020-09-14 |
| 1447865696 | Aminata Banya Koroma | Behavior Technician | 6180 Grovedale Ct Ste 2006180, Alexandria, VA 22310-2552 | 2020-09-14 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSBURG |
| Zip Code | 23188 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.