Alexa Smith, RBT
Behavior Technician in Crestview, FL. Individual provider (NPI-1).
NPI number1245089804
StatusActive
Last updated in NPPESMay 16, 2024
Details
- NPI
- 1245089804
- Entity type
- Individual (NPI-1)
- Name
- Alexa Smith
- Credential
- RBT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 16, 2024
- Certification date
- May 16, 2024
- Last updated
- May 16, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
296 S Ferdon BlvdCrestview, FL 32536-3702
Phone 850-333-1279
Mailing address
40 State Highway 83Defuniak Springs, FL 32433-7404
Phone 850-585-9189
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 191 Behavior Technician providers in Crestview · All 1,137 providers in Crestview
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