MALLORY ELIZABETH SMITHART (NPI# 1639777618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639777618 |
| Entity Type | Individual |
| Full Name | MALLORY ELIZABETH SMITHART |
| Practice Address |
1247 Rucker Blvd Ste 3 Enterprise AL 36330-3630 |
| Mailing Address |
13825 Us Highway 29 Andalusia AL 36420-7233 |
| Practice Telephone | 3343475003 |
| Mailing Telephone | 3348924311 |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2020-10-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | AL | Behavioral Health & Social Service Providers |
| Street Address |
1247 RUCKER BLVD STE 3 |
| City | ENTERPRISE |
| State | AL |
| Zip Code | 36330-3630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750775011 | Charles Ray Lemans Collins | Technician, Other | 1247 Rucker Blvd Ste 3, Enterprise, AL 36330-3630 | 2015-03-25 |
| 1144848425 | Kaley H Carter | Behavior Technician | 1247 Rucker Blvd Ste 3, Enterprise, AL 36330-3630 | 2020-07-13 |
| 1962020347 | Sean Patrick Roehler | Behavior Technician | 1247 Rucker Blvd Ste 3, Enterprise, AL 36330-3630 | 2020-07-11 |
| 1295353902 | Sara Danise Collins | Behavior Technician | 1247 Rucker Blvd Ste 3, Enterprise, AL 36330-3630 | 2020-07-09 |
| 1750909537 | Kaitlyn Ireland Mckenzie | Behavior Technician | 1247 Rucker Blvd Ste 3, Enterprise, AL 36330-3630 | 2020-07-08 |
| 1528686656 | Laura Rosa | Behavior Technician | 1247 Rucker Blvd Ste 3, Enterprise, AL 36330-3630 | 2020-07-06 |
| 1386261667 | Jamie Marie Stotler | Assistant Behavior Analyst | 1247 Rucker Blvd Ste 3, Enterprise, AL 36330-3630 | 2020-07-02 |
| 1851800965 | Kimberly Stotler | Behavioral Analyst | 1247 Rucker Blvd Ste 3, Enterprise, AL 36330-3630 | 2017-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417566860 | Julia Brooke Lowe | Pharmacist | 847 Boll Weivell Circle #112, Enterprise, AL 36330 | 2020-07-30 |
| 1134759640 | Benjamin Chase Marler | Student in an Organized Health Care Education/Training Program | 205 Somerset Pl, Enterprise, AL 36330 | 2020-01-23 |
| 1033694492 | Angel Melton | Counselor | 105 Searcy St, Enterprise, AL 36330 | 2018-10-01 |
| 1285180729 | Enterprise Urgent Care | Clinic/Center | 6582 Boll Weevil Circle, Enterprise, AL 36330 | 2016-08-25 |
| 1902204258 | Nikki Chen | Nurse Practitioner | 805 East Lee Street, Ste C, Enterprise, AL 36330 | 2014-12-17 |
| 1568795417 | Crystal Juanita Christian | Counselor | 1275 James Drive, Suite A Enterprise Behavioral Services, Enterprise, AL 36330 | 2009-09-10 |
| 1316173206 | Robert Noback | Preventive Medicine | 301 Dustoff Ave, Ft. Rucker, AL 36330 | 2009-06-05 |
| 1184892978 | Phillip Allen Fuller | Pulmonary Function Technologist | 130e.pondella Dr., Enterprise, AL 36330 | 2008-02-14 |
| 1720266778 | Richard Bauer | Emergency Medical Technician, Intermediate | Bld 301 Andrews Ave., Lyster Army Health Clinic, Ft Rucker, AL 36330 | 2008-02-01 |
| 1871646547 | Thomas Orson Patterson | Dentist | 306 South Edwards Street, Enterprise, AL 36330 | 2007-01-18 |
| Find all providers in zip 36330 | ||||
| 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 |
|---|---|---|---|---|
| 1578103875 | Anna Lee Davis-pope | Behavior Technician | 142 Eagle Bend Rd, Enterprise, AL 36330-9341 | 2020-01-14 |
| 1013557313 | Janna Lyn Poling | Behavior Technician | 237 Wakefield Way, Enterprise, AL 36330-5082 | 2020-01-14 |
| 1689281552 | Kelly Garner Gaskins | Behavior Technician | 204 N Main St, Enterprise, AL 36330-2539 | 2020-09-25 |
| 1235740739 | Megan S Legg | Behavior Technician | 201 W Lee St, Enterprise, AL 36330-2424 | 2020-08-10 |
| 1962012294 | Sarah Parks | Behavior Technician | 201 W Lee St, Enterprise, AL 36330-2424 | 2020-08-02 |
| 1124637707 | Hallie Carroll | Behavior Technician | 201 W Lee St, Enterprise, AL 36330-2424 | 2020-07-29 |
| 1588273254 | Sean Cook | Behavior Technician | 201 W Lee St, Enterprise, AL 36330-2424 | 2020-07-28 |
| 1144848425 | Kaley H Carter | Behavior Technician | 1247 Rucker Blvd Ste 3, Enterprise, AL 36330-3630 | 2020-07-13 |
| 1962020347 | Sean Patrick Roehler | Behavior Technician | 1247 Rucker Blvd Ste 3, Enterprise, AL 36330-3630 | 2020-07-11 |
| 1295353902 | Sara Danise Collins | Behavior Technician | 1247 Rucker Blvd Ste 3, Enterprise, AL 36330-3630 | 2020-07-09 |
| Find all providers in ENTERPRISE | ||||
| City | ENTERPRISE |
| Zip Code | 36330 |
Please comment or provide details below to improve the information on MALLORY ELIZABETH SMITHART.
| 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.