CANDACE SMITH (NPI# 1285112029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285112029 |
| Entity Type | Individual |
| Full Name | CANDACE SMITH |
| Practice Address |
2840 Henderson Dr Jacksonville NC 28546-5242 |
| Practice Telephone | 9103782501 |
| Mailing Telephone | 9103782501 |
| Mailing Fax Number | 9109391490 |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2018-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-18-61899 | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841771755 | Candace Nichole Smith | Behavior Technician | 1907 Tyrone Blvd N # 274, St Petersburg, FL 33710-4841 | 2018-08-28 |
| 1760972632 | Candace Lee Smith | Physical Therapy Assistant | 3913 Thousand Oaks Dr, Jonesboro, AR 72404-0717 | 2018-05-16 |
| 1457779316 | Candace Smith | Nurse Practitioner | 2513 Otter Totem Ct, St Augustine, FL 32092-2445 | 2014-03-28 |
| 1811333891 | Candace Grace Smith | Counselor | 10800 State Highway 151 Apt 1113, San Antonio, TX 78251-4216 | 2013-05-16 |
| 1497800361 | Candace Lee Smith | Pediatrics | 1020 Old Metairie Pl, Metairie, LA 70001-6300 | 2007-01-23 |
| 1699311555 | Candace Smith | Behavior Technician | 25115 Avenue Stanford Ste A100, Valencia, CA 91355-1290 | 2019-11-25 |
| 1760037956 | Candace Christine Smith | Technician, Other | 1150 E Sequoia Ave, Tulare, CA 93274-4508 | 2019-08-05 |
| 1750948980 | Candace Larae Smith | Massage Therapist | 925 8th Ave N, Seattle, WA 98109-6304 | 2019-05-22 |
| 1922559111 | Candace Smith | Nurse Anesthetist, Certified Registered | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2016-10-22 |
| 1790148385 | Candace Yvette Smith | Emergency Medicine | 3635 Vista Ave, Slu Division of Emergency Medicine, Saint Louis, MO 63110-2539 | 2016-03-31 |
| Street Address |
2840 HENDERSON DR |
| City | JACKSONVILLE |
| State | NC |
| Zip Code | 28546-5242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730697855 | Britni Floyd | Behavior Technician | 2840 Henderson Dr, Jacksonville, NC 28546-5242 | 2018-01-11 |
| 1669954830 | Victoria Ann Ingold | Behavior Technician | 2840 Henderson Dr, Jacksonville, NC 28546-5242 | 2018-09-04 |
| 1023509924 | Leanna Kyle | Behavioral Analyst | 2840 Henderson Dr, Jacksonville, NC 28546-5242 | 2018-05-25 |
| 1205339439 | Lindsay Gillis | Behavior Technician | 2840 Henderson Dr, Jacksonville, NC 28546-5242 | 2018-03-14 |
| 1568964385 | Heather Todd | Behavior Technician | 2840 Henderson Dr, Jacksonville, NC 28546-5242 | 2018-03-07 |
| 1952819914 | Justine Fuentes | Behavior Technician | 2840 Henderson Dr, Jacksonville, NC 28546-5242 | 2018-01-11 |
| 1497263453 | Kaitlin Shaffer | Behavioral Analyst | 2840 Henderson Dr, Jacksonville, NC 28546-5242 | 2018-01-11 |
| 1811405939 | Courtney Stewart | Behavior Technician | 2840 Henderson Dr, Jacksonville, NC 28546-5242 | 2018-01-11 |
| 1124536180 | Kirstianna Lombardi | Behavior Technician | 2840 Henderson Dr, Jacksonville, NC 28546-5242 | 2018-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316578388 | Judylyn Hobson | Registered Nurse | Pride In North Carolina, LLC, 3886 Henderson Dr, Jacksonville, NC 28546 | 2020-01-29 |
| 1427694637 | Aaron Patrick Bettcher | Military Health Care Provider | 3rd Mrb Loop Rd, Camp Lejeune, NC 28546 | 2019-11-22 |
| 1962044289 | Levi Scott Marshall | Military Health Care Provider | Everett Creek Road, Building 612, Camp Lejeune, NC 28546 | 2019-10-09 |
| 1649826652 | Nicholas Otazo | Military Health Care Provider | 3rd Mrb 20073, Camp Lejeune, NC 28546 | 2019-08-15 |
| 1417519570 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 2001 Marlin Drive Unit 100, Jacksonville, NC 28546 | 2019-06-28 |
| 1023500212 | Josip Ninrodriguez | Military Health Care Provider | 3d Marine Raider Battaliom, Camp Lejeune, NC 28546 | 2018-06-04 |
| 1639661192 | Kenneth Lee Russell | Military Health Care Provider | 3d Marine Raider Battalion, Camp Lejeune, NC 28546 | 2018-05-31 |
| 1346730173 | Coastal Foot Center, LLC | Clinic/Center | 29 Office Park Dr Ste B, Jacksonville, NC 28546 | 2018-05-17 |
| 1578080271 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 380 Western Blvd, Jacksonville, NC 28546 | 2017-08-24 |
| 1144757493 | Darin Lee Peterson | Specialist/Technologist | G644 Camp Geiger, School of Infantry-east, Jacksonville, NC 28546 | 2017-05-17 |
| Find all providers in zip 28546 | ||||
| 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 |
|---|---|---|---|---|
| 1215544424 | Brianna Rene Lavoie | Behavior Technician | 113g N Marine Blvd, Jacksonville, NC 28540-6508 | 2020-09-30 |
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1558977330 | Samantha Jo Gilmore | Behavior Technician | 2893 Post St Apt 4, Jacksonville, FL 32205-7447 | 2020-09-17 |
| 1639784135 | Rhianna Fiona Valencia | Behavior Technician | 7718 Tunica Ct, Jacksonville, FL 32244-8169 | 2020-09-11 |
| 1710590302 | Olivia Link | Behavior Technician | 2525 Dunn Ave Ste 2, Jacksonville, FL 32218-4680 | 2020-08-25 |
| 1821600768 | Emily Mary Ross | Behavior Technician | 2869 Post St, Jacksonville, FL 32205-7456 | 2020-08-21 |
| 1639789290 | April Elaine Crews | Behavior Technician | 9000 Southside Blvd, Jacksonville, FL 32256-0793 | 2020-08-07 |
| 1225656937 | Roxana Maldonado | Behavior Technician | 2425 Dunn Ave # Sre2, Jacksonville, FL 32218-4603 | 2020-07-09 |
| 1023639747 | Maaria Chehab | Behavior Technician | 7668 Saw Timber Ln, Jacksonville, FL 32256-2354 | 2020-05-05 |
| 1255966024 | Okeya Johnson | Behavior Technician | 7960 103rd St Apt 1205, Jacksonville, FL 32210-6659 | 2020-03-11 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 28546 |
Please comment or provide details below to improve the information on CANDACE SMITH.
| 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.