KIMBERLY ALEXIS SMITH (NPI# 1700420874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700420874 |
| Entity Type | Individual |
| Full Name | KIMBERLY ALEXIS SMITH |
| Practice Address |
14828 Serenita Avenue Oklahoma City OK 73134 |
| Mailing Address |
808 N Centennial Way Mustang OK 73064-2062 |
| Practice Telephone | 4058397300 |
| Mailing Telephone | 4056641288 |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2019-11-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-19-103790 | OK | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496443 | Kimberly A Smith | Counselor | 2764 Teakwood Ln, Plano, TX 75075-9100 | 2020-10-30 |
| 1437703212 | Kimberly L Smith | Massage Therapist | 2707 Silesia Ln Apt C, Bellingham, WA 98226-3664 | 2019-07-30 |
| 1831651298 | Kimberly A Smith | Hearing Instrument Specialist | 954 E Main St, Chillicothe, OH 45601-2844 | 2019-04-04 |
| 1467916437 | Kimberly Alicia Smith | Family Medicine | 4000 Mitchellville Rd Ste A308, Bowie, MD 20716-3135 | 2019-01-24 |
| 1891296901 | Kimberly Diane Smith | Acupuncturist | 11110 Ohio Ave Ste 105, Los Angeles, CA 90025-6345 | 2018-02-23 |
| 1184140881 | Kimberly Denise Smith | Peer Specialist | 720 14th Ave Fl 2, Longview, WA 98632-2315 | 2017-08-15 |
| 1285164897 | Kimberly Smith | Contractor | 2607 Lakebriar St, San Antonio, TX 78222 | 2017-06-15 |
| 1912458092 | Kimberly Grace Smith | Speech-Language Pathologist | 220 Lincoln Pl, Apt 2f, Brooklyn, NY 11217-3761 | 2016-10-24 |
| 1922553171 | Kimberly Smith | Licensed Practical Nurse | 4432 Drexel St, Detroit, MI 48215-3346 | 2016-08-17 |
| 1144673476 | Kimberly B. Smith | Speech-Language Pathologist | 39341 Jason St, Prairieville, LA 70769-4614 | 2016-07-21 |
| Street Address |
14828 SERENITA AVENUE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043750755 | Nikki Jo Rios | Behavioral Analyst | 14828 Serenita Avenue, Oklahoma City, OK 73134 | 2017-02-28 |
| 1508499948 | Zoe Elizabeth Hungate | Behavior Technician | 14828 Serenita Avenue, Oklahoma City, OK 73134 | 2020-02-13 |
| 1437791654 | Rachel K Smith | Behavior Technician | 14828 Serenita Avenue, Oklahoma City, OK 73134 | 2019-10-09 |
| 1720544273 | Lindsey Taylor | Technician, Other | 14828 Serenita Avenue, Oklahoma City, OK 73134 | 2019-02-20 |
| 1265998710 | Theresa Paramore | Technician, Other | 14828 Serenita Avenue, Oklahoma City, OK 73134 | 2019-02-20 |
| 1205392115 | Amanda Beck | Technician, Other | 14828 Serenita Avenue, Oklahoma City, OK 73134 | 2019-02-15 |
| 1023574936 | Ashley Green | Technician, Other | 14828 Serenita Avenue, Oklahoma City, OK 73134 | 2019-02-15 |
| 1407312317 | Lexi Hodge | Technician, Other | 14828 Serenita Avenue, Oklahoma City, OK 73134 | 2019-02-15 |
| 1225594138 | Lorrie Servati | Technician, Other | 14828 Serenita Avenue, Oklahoma City, OK 73134 | 2019-02-15 |
| 1497211304 | Jazmin Rivera | Technician, Other | 14828 Serenita Avenue, Oklahoma City, OK 73134 | 2019-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841846474 | Designs In Dentistry | Dentist | 14810 Serenita Ave, Oklahoma City, OK 73134 | 2019-08-09 |
| 1538683248 | Amber N Rettke | Case Manager/Care Coordinator | 14900 N. Pennsylvania Ave Apt. 1423, Oklahoma City, OK 73134 | 2017-08-03 |
| 1285092437 | Christina Almstrom Whelan | Psychologist | 14616 Fossil Creek Lane, Oklahoma City, OK 73134 | 2016-02-03 |
| 1881003614 | Amber D. Given | Counselor | 14001 Mcauley Blvd. Suite 240, Oklahoma City, OK 73134 | 2014-08-06 |
| 1114365483 | Chester Arthur Woods IIi | Student in an Organized Health Care Education/Training Program | 14548 North Pennsylvania Ave, Oklahoma City, OK 73134 | 2013-06-10 |
| 1700123916 | Laura Jane Holsey | Surgery | 3543 West Memorial Road, Holsey Cosmetic Surgery & Spa, Oklahoma City, OK 73134 | 2013-01-08 |
| 1023354842 | Amattco LLC | Clinic/Center | 3705 West Memorial Rd Suite 601, Oklahoma City, OK 73134 | 2012-12-26 |
| 1740531698 | Oklahoma Sports and Orthopedics Institute Pllc | Orthopaedic Surgery | 13401 N. Western. Ave., Ste. 301, Oklahoma City, OK 73134 | 2012-10-01 |
| 1003167503 | Lindsey Brockie | Technician, Other | 14828 Serenita Ave, Oklahoma City, OK 73134 | 2012-09-24 |
| 1326348434 | Epworth At Home LLC | Home Health | 14901 N. Pennsylvania Ave, Oklahoma City, OK 73134 | 2010-10-25 |
| Find all providers in zip 73134 | ||||
| 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 |
|---|---|---|---|---|
| 1366052896 | Trayea Lindemann | Behavior Technician | 6020 Nw 23rd St Apt 7, Oklahoma City, OK 73127-1205 | 2020-08-10 |
| 1417579814 | Matthew Douglas Parker | Behavior Technician | 13905 Technology Dr, Oklahoma City, OK 73134-1054 | 2020-05-08 |
| 1861014185 | Mallory Nicole Fletcher | Behavior Technician | 13905 Technology Dr # A1, Oklahoma City, OK 73134-1054 | 2020-05-08 |
| 1043832363 | Calli Nicole Sullins | Behavior Technician | 13905 Technology Dr Ste A1, Oklahoma City, OK 73134-1054 | 2020-05-08 |
| 1639705056 | Erica Pepper | Behavior Technician | 5100 N Brookline Ave Ste 525, Oklahoma City, OK 73112-3627 | 2020-03-17 |
| 1235765959 | Cullen Crawford | Behavior Technician | 4704 Nw 40th, Oklahoma City, OK 73122 | 2020-03-13 |
| 1730727033 | Gabriela Escobar | Behavior Technician | 2700 S Shartel Ave, Oklahoma City, OK 73109-2234 | 2019-12-17 |
| 1669018966 | Katie May Britt | Behavior Technician | 1012 Nw Grand Blvd, Oklahoma City, OK 73118-6000 | 2019-11-21 |
| 1821553223 | Rodney Daniels Jr. | Behavior Technician | 1411 Ne 37th St, Oklahoma City, OK 73111-5015 | 2019-02-10 |
| 1689180077 | Bailey Grogg | Behavior Technician | 401 E Memorial Rd Ste 700, Oklahoma City, OK 73114-2287 | 2017-12-20 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73134 |
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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.