AMANDA RAE SMITH (NPI# 1811544414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811544414 |
| Entity Type | Individual |
| Full Name | AMANDA RAE SMITH |
| Practice Address |
105 Clubhouse Cir Apt 102 Idaho Falls ID 83401-4328 |
| Practice Telephone | 2087096986 |
| Mailing Telephone | 2087096986 |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2019-08-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467010 | Amanda Dawn Smith | Physician Assistant | 1621 Spruce St, Zanesville, OH 43701-2534 | 2020-11-03 |
| 1689281297 | Amanda Joy Smith | Massage Therapist | 4915 Rue Vallee Apt 89, Indianapolis, IN 46227-6660 | 2020-09-28 |
| 1902422033 | Amanda Elaine Smith | Nurse Practitioner | 116 Tracy Miles Rd, Franklin, IN 46131-5547 | 2020-06-24 |
| 1619500519 | Amanda Leigh Smith | Marriage & Family Therapist | 1012 Greta St, El Cajon, CA 92021-3258 | 2020-02-19 |
| 1245861335 | Amanda Monique Leanne Smith | Massage Therapist | 4400 Bayou Blvd Ste 26b, Pensacola, FL 32503-1908 | 2020-01-28 |
| 1306400072 | Amanda J Smith | Occupational Therapy Assistant | 8811 Sandy Plains Dr, Riverview, FL 33578-8619 | 2019-04-27 |
| 1861056079 | Amanda Lynn Smith | Nurse Practitioner | 3785 E Stampede Dr, Gilbert, AZ 85297-8203 | 2019-04-24 |
| 1164996864 | Amanda Marie Smith | Student in an Organized Health Care Education/Training Program | 527 12th Ave E Apt 203, Seattle, WA 98102-5114 | 2019-01-15 |
| 1245701796 | Amanda Michelle Smith | Dietitian, Registered | 20 Columbia Pl Apt B045, Brooklyn, NY 11201-4591 | 2018-12-10 |
| 1295206076 | Amanda Lashae Smith | Massage Therapist | 70 E Second St, Crossville, TN 38555-4564 | 2018-12-05 |
| Street Address |
105 CLUBHOUSE CIR APT 102 |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83401-4328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454796 | Natalie M Theriault | Acupuncturist | 864 S Holmes, Idaho Falls, ID 83401 | 2020-10-09 |
| 1366099293 | Idaho Recovery Center, LLC. | Counselor | 771 South Woodruff Avenue, Idaho Falls, ID 83401 | 2019-08-26 |
| 1851859110 | Rebecca Chidester | Counselor | 771 Parkwood St., Idaho Falls, ID 83401 | 2019-03-06 |
| 1467924985 | Benchmark Home Health | Registered Nurse | 2098 Gladys Dr., Idaho Falls, ID 83401 | 2018-12-21 |
| 1134625338 | Idaho Falls Hand Therapy Limited Partnership | Clinic/Center | 564 S Woodruff Avenue, Idaho Falls, ID 83401 | 2018-04-05 |
| 1992227367 | Brenda Emery | Rehabilitation Practitioner | 540 3rd Street, Idaho Falls, ID 83401 | 2017-07-07 |
| 1689068454 | Addiction Treatment Centers of Idaho | Community/Behavioral Health | 211 S. Woodruff Avenue, Idaho Falls, ID 83401 | 2015-03-19 |
| 1386986412 | Jennifer Lee Henderson | Psychologist | 111 E. 16th Street, Innovative Health Care Concepts Inc., Idaho Falls, ID 83401 | 2013-03-27 |
| 1487994430 | Sterling Physician Group Pllc | Clinic/Center | 740 S. Woodruff Ave, Idaho Falls, ID 83401 | 2013-02-27 |
| 1952638025 | Allstar Counseling Inc. | Case Management | 550 2nd Street, Suite 269, Idaho Falls, ID 83401 | 2009-11-11 |
| Find all providers in zip 83401 | ||||
| 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 |
|---|---|---|---|---|
| 1558960294 | Kathleen Dannehl | Behavior Technician | 2402 Edmiston Dr, Idaho Falls, ID 83401-4899 | 2020-10-23 |
| 1326656083 | Heather Hallbert | Behavior Technician | 3869 Golden Ln, Idaho Falls, ID 83401-4796 | 2020-07-20 |
| 1598383283 | Shelby Lyn Ellis | Behavior Technician | 1975 Belmont Ave, Idaho Falls, ID 83404-6409 | 2020-07-08 |
| 1275155111 | Celeste Hibbert | Behavior Technician | 2036 Meppen Dr, Idaho Falls, ID 83401-5279 | 2020-05-14 |
| 1912542663 | Amy Tonks | Behavior Technician | 1235 Ada Ave, Idaho Falls, ID 83402-2148 | 2019-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922045 | Genevieve Marie Wilkerson Hansen | Behavior Technician | 146 N 4th W, Rexburg, ID 83440-1415 | 2020-11-05 |
| 1760082317 | Karen L. Chase | Behavior Technician | 673 S Widgeon St, Post Falls, ID 83854-6212 | 2020-10-30 |
| 1740889989 | Sarah Lorraine Gill | Behavior Technician | 1015 W University Dr, Boise, ID 83706-3006 | 2020-10-20 |
| 1730788183 | Laura Danielle Henrie | Behavior Technician | 3022 S Indiana Ave, Caldwell, ID 83605-5929 | 2020-10-17 |
| 1124626502 | Michael Corey | Behavior Technician | 4618 W Gage St, Boise, ID 83706-2124 | 2020-10-16 |
| 1497352033 | Maria Crisselda Juarez | Behavior Technician | 11859 W Crested Butte Ct, Nampa, ID 83651-8164 | 2020-10-07 |
| 1831796291 | Mckenzie Rose Palmer | Behavior Technician | 16548 N Profit Cir Apt 202, Nampa, ID 83687-5363 | 2020-10-07 |
| 1396342077 | Laura Halsted | Behavior Technician | 3200 E Anemone Ct, Boise, ID 83716-6847 | 2020-10-05 |
| 1699372508 | Kayla Marie Ray | Behavior Technician | 7766 W Paloma St, Boise, ID 83704-0701 | 2020-10-04 |
| 1942807078 | Lauryn Temple | Behavior Technician | 7960 W Northview St, Boise, ID 83704-7242 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
| City | IDAHO FALLS |
| Zip Code | 83401 |
Please comment or provide details below to improve the information on AMANDA RAE 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.