MARLIE SMITH (NPI# 1104477462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104477462 |
| Entity Type | Individual |
| Full Name | MARLIE SMITH |
| Credential | BT |
| Practice Address |
2740 College Ave Conway AR 72034-6141 |
| Practice Telephone | 5013295459 |
| Mailing Telephone | 5013295459 |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2019-09-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | AR | Behavioral Health & Social Service Providers |
| Street Address |
2740 COLLEGE AVE |
| City | CONWAY |
| State | AR |
| Zip Code | 72034-6141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841380789 | Leah M Lowe | Physical Therapist | 2740 College Ave, Conway, AR 72034-6141 | 2006-10-13 |
| 1821695628 | Hannah J Cleveland | Day Training/Habilitation Specialist | 2740 College Ave, Conway, AR 72034-6141 | 2020-10-05 |
| 1821606138 | Meredith Hammontree | Registered Nurse | 2740 College Ave, Conway, AR 72034-6141 | 2020-07-22 |
| 1568085389 | Casey L Slayton | Registered Nurse | 2740 College Ave, Conway, AR 72034-6141 | 2020-05-27 |
| 1932720141 | Gabrielle Ashtyn Hern | Day Training/Habilitation Specialist | 2740 College Ave, Conway, AR 72034-6141 | 2020-04-28 |
| 1356970511 | Wesley Elaine Moreno Robles | Behavior Technician | 2740 College Ave, Conway, AR 72034-6141 | 2020-04-08 |
| 1104459056 | Kelby Bolling | Behavioral Analyst | 2740 College Ave, Conway, AR 72034-6141 | 2020-02-19 |
| 1689211328 | Seth Christopher Hunter | Behavior Technician | 2740 College Ave, Conway, AR 72034-6141 | 2019-12-02 |
| 1497306757 | Mia Harper | Behavior Technician | 2740 College Ave, Conway, AR 72034-6141 | 2019-09-26 |
| 1669023925 | Jason Tulberg | Behavior Technician | 2740 College Ave, Conway, AR 72034-6141 | 2019-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013563758 | Shelby M Perez | Case Manager/Care Coordinator | 3240 Stermer Rd, Conway, AR 72034 | 2019-08-16 |
| 1467932772 | Faith J Parfait | Licensed Practical Nurse | 1352 Watkins St, Conway, AR 72034 | 2018-08-16 |
| 1043790611 | David Adam Steinfeld | Nurse Practitioner | 855 S German Ln Ste 1, Conway, AR 72034 | 2018-08-14 |
| 1245728484 | Conway Behavioral Health, LLC | Psychiatry & Neurology | 2255 Sturgis Rd, Conway, AR 72034 | 2018-04-24 |
| 1972007292 | Eldercare of Arkansas IIi, Inc. | Assisted Living Facility | 1306 S. Donaghey, Conway, AR 72034 | 2018-03-21 |
| 1528561404 | Kouhei Kobayashi | Specialist/Technologist | 2201 Moix Blvd., Apt. 908, Conway, AR 72034 | 2018-03-16 |
| 1780191015 | Sydnie Thessing | Nurse Practitioner | 605 Dave Ward Drive #105, Conway, AR 72034 | 2018-01-09 |
| 1508371865 | Ebony Latreace Charleston | Case Manager/Care Coordinator | 3240 Stermer Road, Conway, AR 72034 | 2017-12-08 |
| 1689190647 | Denise Annette Aikman | Dentist | 1210 Hogan Lane, Suite 200, Conway, AR 72034 | 2017-08-21 |
| 1134669138 | Hortons Orthotic Lab, Inc. | Prosthetic/Orthotic Supplier | 635 Dave Ward, Suite 103, Conway, AR 72034 | 2017-02-24 |
| Find all providers in zip 72034 | ||||
| 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 |
|---|---|---|---|---|
| 1770105355 | Lauren James | Behavior Technician | 4 Ruth Dr, Conway, AR 72032-9402 | 2020-05-17 |
| 1669071569 | Laney Rain Eldridge | Behavior Technician | 1301 Museum Rd, Conway, AR 72032-4739 | 2020-10-21 |
| 1083225973 | Julianne Lindsey Merguie | Behavior Technician | 1301 Museum Rd, Conway, AR 72032-4739 | 2020-08-13 |
| 1356970511 | Wesley Elaine Moreno Robles | Behavior Technician | 2740 College Ave, Conway, AR 72034-6141 | 2020-04-08 |
| 1689211328 | Seth Christopher Hunter | Behavior Technician | 2740 College Ave, Conway, AR 72034-6141 | 2019-12-02 |
| 1497306757 | Mia Harper | Behavior Technician | 2740 College Ave, Conway, AR 72034-6141 | 2019-09-26 |
| 1669023925 | Jason Tulberg | Behavior Technician | 2740 College Ave, Conway, AR 72034-6141 | 2019-09-26 |
| 1558910497 | Kellye Bauman | Behavior Technician | 2740 College Ave, Conway, AR 72034-6141 | 2019-09-04 |
| 1255980199 | Kaitlyn Frazier | Behavior Technician | 2740 College Ave, Conway, AR 72034-6141 | 2019-09-04 |
| 1922655794 | Sarah M Isgrig | Behavior Technician | 2740 College Ave, Conway, AR 72034-6141 | 2019-08-26 |
| Find all providers in CONWAY | ||||
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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.