AMANDA N SMITH (NPI# 1568930386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568930386 |
| Entity Type | Individual |
| Full Name | AMANDA N SMITH |
| Practice Address |
143 Sugar Mill Cir Savannah GA 31419-9431 |
| Practice Telephone | 9127859027 |
| Practice Fax Number | 8775156711 |
| Mailing Telephone | 9127859027 |
| Mailing Fax Number | 8775156711 |
| Enumeration Date | 2018-11-09 |
| Last Update Date | 2018-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-18-70086 | GA | 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 |
| 1811544414 | Amanda Rae Smith | Behavior Technician | 105 Clubhouse Cir Apt 102, Idaho Falls, ID 83401-4328 | 2019-08-20 |
| 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 |
| Street Address |
143 SUGAR MILL CIR |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31419-9431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760833750 | Cady-jo Steidle | Behavioral Analyst | 143 Sugar Mill Cir, Savannah, GA 31419 | 2016-06-30 |
| 1073164109 | Vanessa Harlos-palmer | Behavior Technician | 143 Sugar Mill Cir, Savannah, GA 31419-9431 | 2019-09-20 |
| 1750853925 | Jordan Ann Thompson | Behavior Technician | 143 Sugar Mill Cir, Savannah, GA 31419-9431 | 2018-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932653 | Loving Hands Adult Care | Home Health Aide | 101 St. Goerge Blvd, 6t, Savannah, GA 31419 | 2020-11-03 |
| 1285241265 | Jennifer Ann Hales | Surgery | 11090 Mcauley, Suite 100 2a, Savannah, GA 31419 | 2020-09-24 |
| 1699318139 | Jessica Kaitlyn Matthewson | Nurse Practitioner | 11700 Mercy Blvd Plaza D, Bldg #5, Savannah, GA 31419 | 2019-10-28 |
| 1679133219 | Rebecca Denise Brown-tuyishimire | Counselor | Savannah Outpatient Clinic, 1170 Shawnee Street, Savannah, GA 31419 | 2019-06-17 |
| 1356900856 | Julio Roberto Castellanos Jr. | Behavior Technician | 785 King George Blvd Ste 103, Savannah, GA 31419 | 2019-06-07 |
| 1669941761 | Paul-david Arthur Cooper | Peer Specialist | 117 Shawnee Street, Va Savannah Clinic, Savannah, GA 31419 | 2018-11-19 |
| 1326538521 | Jay Carter Jr. | Social Worker | 1170 Shawnee St., Savannah, GA 31419 | 2018-05-14 |
| 1245771070 | Emily Robertson | Nurse Practitioner | 11133 Abercorm Street, Suite 10, Savannah, GA 31419 | 2017-03-13 |
| 1265881189 | Mallory Williams | Physician Assistant | 11909 D. Mcauley Drive, Savannah, GA 31419 | 2016-06-10 |
| 1851751754 | Rosemary Cross | Non-emergency Medical Transport (VAN) | 804 Tavern Road, Savannah, GA 31419 | 2016-03-04 |
| Find all providers in zip 31419 | ||||
| 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 |
|---|---|---|---|---|
| 1083224299 | Raquel-monet Tucker | Behavior Technician | 5710 Ogeechee Road, Suite 200 - 251, Savannah, GA 31405-9515 | 2020-08-03 |
| 1437771706 | Tahlia Leleka Price | Behavior Technician | 450 Al Henderson Blvd Unit 1202, Savannah, GA 31419-6048 | 2020-05-10 |
| 1942821483 | Taylor Depol | Behavior Technician | 9111 White Bluff Rd, Savannah, GA 31406-4606 | 2020-05-06 |
| 1356976419 | Alexandria Herrin | Behavior Technician | 613 Stephenson Ave Ste A, Savannah, GA 31405-5985 | 2020-03-10 |
| 1790317154 | Lisa Henderson | Behavior Technician | 31 Beaver Run Dr, Savannah, GA 31419-9528 | 2020-02-04 |
| 1639716350 | Brandi Dawn Blackwell | Behavior Technician | 125 Tibet Ave Apt 116a, Savannah, GA 31406-5550 | 2019-12-01 |
| 1356900856 | Julio Roberto Castellanos Jr. | Behavior Technician | 785 King George Blvd Ste 103, Savannah, GA 31419 | 2019-06-07 |
| 1417511379 | Erika Wallace | Behavior Technician | 8515 Lyn Ave, Savannah, GA 31406-6019 | 2019-04-26 |
| 1942765334 | Raegan Epps | Behavior Technician | 613 Stephenson Ave Ste 205, Savannah, GA 31405 | 2019-02-10 |
| 1457829335 | Kayla Glover | Behavior Technician | 210 Cromer St, Savannah, GA 31407-4829 | 2018-11-08 |
| Find all providers in SAVANNAH | ||||
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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.