JENNA J SMITH
NPI 1063163517
Behavior Technician in Eagan, MN

Active since January 17, 2022
4635 NICOLS RD # 104, EAGAN, MN 55122(612) 289-6480 Get Directions Write a Review

NPPES record last updated: January 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 10, 2025, Jan 17, 2022 (2 updates tracked since 2022).

About Jenna J Smith NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNA J SMITH (NPI 1063163517) is an individual behavior technician in Eagan, Minnesota and active in the NPI registry since January 2022. She maintains a secondary practice location in Minneapolis.

NPPES Registry Identity

NPI1063163517
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameJENNA J SMITH
Location Address4635 NICOLS RD # 104Eagan, MN 55122-3337
Mailing Address4635 Nicols Rd # 104Eagan, MN 55122-3337 · (612) 289-6480
Sole ProprietorNo
Enumeration DateJanuary 17, 2022
Last NPPES UpdateJanuary 10, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2025
NPI 1063163517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition
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.
Also ListedBehavior AnalystTaxonomy 103K00000X
4635 NICOLS RD # 104, Eagan, MN 55122

Secondary Practice Location 1

Location 11600 Broadway St NEMinneapolis, MN 55413-2617 · Phone (612) 412-3318 · Fax (612) 288-1805

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
4635 NICOLS RD # 104
EAGAN, MN 55122
Behavior Technician
4635 NICOLS RD # 104
EAGAN, MN 55122
Behavior Technician
4635 NICOLS RD # 104
EAGAN, MN 55122
Behavior Technician
4635 NICOLS RD # 104
EAGAN, MN 55122
Behavior Technician
4635 NICOLS RD # 104
EAGAN, MN 55122
Behavior Technician
4635 NICOLS RD # 104
EAGAN, MN 55122
Behavior Technician
4635 NICOLS RD # 104
EAGAN, MN 55122
Behavior Technician
4635 NICOLS RD # 104
EAGAN, MN 55122

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jenna Smith's NPI number?

The NPI number for Jenna Smith is 1063163517. It was assigned to this individual provider in the NPPES registry on January 17, 2022.

Where is Jenna Smith located?

Jenna Smith practices at 4635 Nicols Rd # 104, Eagan, MN 55122. The listed phone number is (612) 289-6480.

What is Jenna Smith's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Jenna Smith was last updated on January 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.