MRS. KENDRA RENEE SMITH (NPI# 1710452214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710452214 |
| Entity Type | Individual |
| Full Name | MRS. KENDRA RENEE SMITH |
| Practice Address |
2989 Broadmoor Valley Rd Ste D Colorado Springs CO 80906-4403 |
| Mailing Address |
2049 Legacy Ridge Vw Apt 103 Colorado Springs CO 80910-4809 |
| Practice Telephone | 7195761316 |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2018-10-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295267649 | Kendra Beth Smith | Student in an Organized Health Care Education/Training Program | 6 Steele Hollow Rd, Spencer, WV 25276-9113 | 2017-04-03 |
| 1720488638 | Kendra Bailey Smith | Specialist/Technologist | 15 N 1050 W, Kaysville, UT 84037-2483 | 2014-08-27 |
| 1538390067 | Kendra Ann Smith | Psychologist | James Taylor Campus Health Bldg, Cb# 7470, Chapel Hill, NC 27599-7470 | 2009-07-31 |
| 1083868392 | Kendra M Smith | Emergency Medicine | 4803 10th Ave, Brooklyn, NY 11219 | 2008-11-13 |
| 1548871833 | Kendra Smith | Pharmacist | 206 N Main St, Crookston, MN 56716-1743 | 2020-08-11 |
| 1548879067 | Kendra De'von Smith | Advanced Practice Midwife | 1080 Neal St Ste 200, Cookeville, TN 38501-0944 | 2020-07-30 |
| 1154962512 | Kendra Smith | Physical Therapist | 13336 Industrial Rd Ste 105, Omaha, NE 68137-1124 | 2019-10-07 |
| 1740754829 | Kendra Michelle Smith | Nurse Practitioner | 2525 S Michigan Ave, Chicago, IL 60616-2315 | 2019-01-11 |
| 1528530854 | Kendra Smith | Behavior Technician | 1021 Springboard Dr, Hershey, PA 17033-8820 | 2018-12-27 |
| 1952873648 | Kendra Lyn Smith | Anesthesiology | 441 N Wabash Ave, Marion, IN 46952-2612 | 2018-12-19 |
| Street Address |
2989 BROADMOOR VALLEY RD STE D |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80906-4403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356595433 | Julie Marie Mcintire | Occupational Therapist | 2989 Broadmoor Valley Rd Ste D, Colorado Springs, CO 80906-4403 | 2008-11-16 |
| 1275098139 | Kieran Riley Bixler | Behavior Technician | 2989 Broadmoor Valley Rd Ste D, Colorado Springs, CO 80906-4403 | 2019-02-05 |
| 1619445806 | Kristine Marie Lewis | Behavior Technician | 2989 Broadmoor Valley Rd Ste D, Colorado Springs, CO 80906-4403 | 2018-11-06 |
| 1760957336 | Christelle Badillo | Behavior Technician | 2989 Broadmoor Valley Rd Ste D, Colorado Springs, CO 80906-4403 | 2018-10-10 |
| 1437648813 | Rosary Michelle Mangano | Behavior Technician | 2989 Broadmoor Valley Rd Ste D, Colorado Springs, CO 80906-4403 | 2018-05-01 |
| 1174011282 | Amanda Mcbeain | Behavior Technician | 2989 Broadmoor Valley Rd Ste D, Colorado Springs, CO 80906-4403 | 2018-04-24 |
| 1679070130 | Cheryce Livingston | Behavior Technician | 2989 Broadmoor Valley Rd Ste D, Colorado Springs, CO 80906-4403 | 2018-04-11 |
| 1013414457 | Taylor Ann Mason | Behavior Technician | 2989 Broadmoor Valley Rd Ste D, Colorado Springs, CO 80906-4403 | 2018-04-11 |
| 1528562402 | Stephanie Medina | Behavior Technician | 2989 Broadmoor Valley Rd Ste D, Colorado Springs, CO 80906-4403 | 2018-03-23 |
| 1972002897 | Tiara Lindsley | Behavior Technician | 2989 Broadmoor Valley Rd Ste D, Colorado Springs, CO 80906-4403 | 2018-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437797339 | Michael Crise | Behavior Technician | 1330 Qual Lake Loop Ste 120, Colorado Springs, CO 80906 | 2019-12-11 |
| 1730720541 | Amanda Salinas | Massage Therapist | 1235 Lake Plaza Drive Suite 230, Colorado Springs, CO 80906 | 2019-10-02 |
| 1225511488 | Sheila Meggison | Massage Therapist | 1235 Lake Plaza Drive, Suite 230, Colorado Springs, CA 80906 | 2018-09-12 |
| 1316429756 | Vivus Counseling Services LLC | Counselor | 108 East Cheyenne Rd Suite 201, Colorado Springs, CO 80906 | 2018-09-01 |
| 1043796949 | Erin Lee Recinos | Nurse Practitioner | 225 E Cheyenne Mountain Blvd Ste 220, Colorado Springs, CO 80906 | 2018-07-13 |
| 1982103875 | Savannah Adeline Rentrop | Behavior Technician | 2989 Broadmoor Valley Rd D, Colorado Springs, CO 80906 | 2018-02-06 |
| 1205335288 | Ross Knowlton | Behavior Technician | 1330 Quail Lake Loop Suite 200, Colorado Springs, CO 80906 | 2018-02-06 |
| 1942709845 | Adrienne Bohlen | Behavior Technician | 1330 Quail Lake Loop, Ste. 200, Colorado Springs, CO 80906 | 2018-02-06 |
| 1881110088 | Christine Gonzales | Nurse Practitioner | 2739 E Las Vegas St, Colorado Springs, CO 80906 | 2017-08-18 |
| 1225568470 | Larry Alwine | Counselor | 2860 South Circle Drive, Unit 250k, Colorado Springs, CO 80906 | 2017-06-19 |
| Find all providers in zip 80906 | ||||
| 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 |
|---|---|---|---|---|
| 1235752437 | Lisa Mae Bunch | Behavior Technician | 102 South Tajon St. Ste 1100, Colorado Springs, CO 80903 | 2020-05-21 |
| 1164045407 | Lajanae Davis | Behavior Technician | 102 S. Tajon Street Ste. 1100, Colorado Springs, CO 80903 | 2020-05-21 |
| 1821610734 | Kyndal Elizabeth Strossner | Behavior Technician | 1203 Lawn Lake Trl, Colorado Springs, CO 80921-3672 | 2020-05-13 |
| 1750903944 | Lakyn Rae Arthur | Behavior Technician | 1915 Aerotech Dr, Colorado Springs, CO 80916-4219 | 2020-05-11 |
| 1821619321 | Kayla Sanchez | Behavior Technician | Keystone Achievements, 5526 N. Academy Blvd, Colorado Springs, CO 80918 | 2020-05-06 |
| 1336778885 | Hannah Besse | Behavior Technician | 2207 W Bijou St, Colorado Springs, CO 80904-3443 | 2020-04-06 |
| 1417581844 | Elijah Abendroth | Behavior Technician | 1915 Aerotech Dr Ste 180, Colorado Springs, CO 80916-4213 | 2020-02-25 |
| 1629608898 | Victoria Joy Jenkins | Behavior Technician | 2515 Oak Hills Dr, Colorado Springs, CO 80919-3480 | 2020-01-16 |
| 1437797339 | Michael Crise | Behavior Technician | 1330 Qual Lake Loop Ste 120, Colorado Springs, CO 80906 | 2019-12-11 |
| 1942843008 | Erika Barse | Behavior Technician | 7011 Campus Dr Apt 447, Colorado Springs, CO 80920-3162 | 2019-10-22 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80906 |
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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.