WILLIAM RANDALL SMITH (NPI# 1346518198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346518198 |
| Entity Type | Individual |
| Full Name | WILLIAM RANDALL SMITH |
| Credential | BCBA |
| Practice Address |
902 Daugherty Street Lafayette GA 30728 |
| Practice Telephone | 7069966604 |
| Practice Fax Number | 8662864804 |
| Mailing Telephone | 7069966604 |
| Mailing Fax Number | 8663633758 |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2015-04-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-11-9558 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275179178 | William Smith Iv | Private Vehicle | 2535 S Twin Bridge Rd, Decatur, IL 62521-9604 | 2019-11-26 |
| 1700430907 | William K. Smith | Physical Medicine & Rehabilitation | 4301 Jones Bridge Rd Rm 1036, Bethesda, MD 20814-4712 | 2019-07-26 |
| 1861995920 | William D Smith Jr. | Pharmacist | 3501 Gladstone Blvd, Kansas City, MO 64123-1114 | 2018-03-15 |
| 1467999102 | William Smith | Dentist | 9601 Chester Ave # 239j, Cleveland, OH 44106 | 2017-01-19 |
| 1134663149 | William Smith | Pharmacy Technician | 1646 Redbud Cir, Radcliff, KY 40160-2823 | 2016-12-09 |
| 1073065090 | William C Smith | Acupuncturist | 4482 E Belleview St, Phoenix, AZ 85008-5644 | 2016-10-25 |
| 1548719776 | William Smith | Rehabilitation Practitioner | 319 S 1st St, Suite #29, Temple, TX 76504-5500 | 2016-09-29 |
| 1134583677 | William Smith | Student in an Organized Health Care Education/Training Program | 100 Cooper St Apt 2f, New York, NY 10034-2312 | 2016-04-11 |
| 1003275009 | William Smith | Specialist | 761 Sw Darcy Ave, Siletz, OR 97380-2019 | 2016-02-18 |
| 1154797892 | William Smith | Contractor | 320 Harman St Apt 1l, Brooklyn, NY 11237-4929 | 2015-08-17 |
| Street Address |
902 DAUGHERTY STREET |
| City | LAFAYETTE |
| State | GA |
| Zip Code | 30728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395620 | Primary Health Care Center of Dade, Inc. | Clinic/Center | 8a Probasco Street Unit 214, Lafayette, GA 30728 | 2020-10-30 |
| 1891358750 | K -va -t Food Stores Inc | Durable Medical Equipment & Medical Supplies | 311 North Main Street, Lafayette, GA 30728 | 2019-04-17 |
| 1023505914 | Heather Staton | Pharmacist | 324 W. Patton Street, Lafayette, GA 30728 | 2018-04-17 |
| 1023484805 | Tyler Kellum Levie | Dentist | 201 E. Villanow Street, Lafayette, GA 30728 | 2015-08-17 |
| 1083987481 | Krishawna Elaine Montgomery | Counselor | 501 Mize Street Lookout Mountain Community Services, Lafayette, GA 30728 | 2012-02-15 |
| 1821321506 | John H Rockwell | Contractor | 143 Golden Oaks Dr, La Fayette, GA 30728 | 2009-09-11 |
| 1619113057 | Lookout Mountain Community Services | Community/Behavioral Health | 43 Shady Court, Lafayette, GA 30728 | 2009-01-06 |
| 1326212705 | Lookout Mountain Community Services | Community/Behavioral Health | 1218 Chattanooga St., Lafayette, GA 30728 | 2008-04-17 |
| 1649444084 | Lookout Mountain Community Services | Community/Behavioral Health | 29 Mae Tucker Rd., Lafayette, GA 30728 | 2008-04-16 |
| 1730353178 | Lookout Mountain Community Service | Community/Behavioral Health | 322 New Hope Road, Lafayette, GA 30728 | 2008-04-16 |
| Find all providers in zip 30728 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897719 | Taylor Boulet | Behavioral Analyst | 504 Guilbeau Rd Ste D, Lafayette, LA 70506-8413 | 2020-09-24 |
| 1568074250 | Carly Danielle Mouton | Behavioral Analyst | 207 Calypso Ln, Lafayette, LA 70508-5109 | 2020-08-23 |
| 1033694161 | Summit Behavioral Services | Behavioral Analyst | 105 Saint James Dr, Lafayette, LA 70506-5911 | 2018-09-25 |
| 1386128197 | Kelly Rice | Behavioral Analyst | 1094 Orchard Rd, Lafayette, CA 94549-3147 | 2018-09-18 |
| 1295215358 | Meghan Christine Wagner | Behavioral Analyst | 1295 Crystal Ln, Lafayette, OR 97127-6115 | 2018-08-17 |
| 1982190856 | Hannah Lahaye | Behavioral Analyst | 601 Loire Ave Ste D, Lafayette, LA 70507-2477 | 2018-07-03 |
| 1952846826 | Mia D Arthur | Behavioral Analyst | 511 Monarch Dr, Lafayette, LA 70506 | 2016-12-30 |
| 1366894164 | Kathryn Barnett | Behavioral Analyst | 2785 Cason St # 2, Lafayette, IN 47904 | 2016-07-06 |
| 1780036699 | Danielle Kumandan | Behavioral Analyst | 3650 Mt Diablo Blvd, Lafayette, CA 94549-3780 | 2016-07-05 |
| 1992155675 | Brightspots Behavior and Learning | Behavioral Analyst | 512 Thoroughbred Dr, Lafayette, LA 70507-6568 | 2016-06-14 |
| Find all providers in LAFAYETTE | ||||
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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.