TYRA SMITH
NPI 1083120778
Behavior Technician in Grand Rapids, MI

Active since December 18, 2017
2017 COLLEGE AVE SE, GRAND RAPIDS, MI 49507(616) 308-3671 Get Directions Write a Review

NPPES record last updated: December 18, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tyra Smith NPPES

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

TYRA SMITH (NPI 1083120778) is an individual behavior technician in Grand Rapids, Michigan and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1083120778
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameTYRA SMITH
Location Address2017 COLLEGE AVE SEGrand Rapids, MI 49507-3101
Mailing Address2017 College Ave SeGrand Rapids, MI 49507-3101
Sole ProprietorYes
Enumeration DateDecember 18, 2017
NPI 1083120778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
2017 COLLEGE AVE SE, Grand Rapids, MI 49507

Other Identifiers 1

Medicaid10925787MI

Other Providers at the Same Location NPPES 2

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

Social Worker (Clinical)
2017 COLLEGE AVE SE
GRAND RAPIDS, MI 49507
Social Worker (Clinical)
2017 COLLEGE AVE SE
GRAND RAPIDS, MI 49507

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 Tyra Smith's NPI number?

The NPI number for Tyra Smith is 1083120778. It was assigned to this individual provider in the NPPES registry on December 18, 2017.

Where is Tyra Smith located?

Tyra Smith practices at 2017 College Ave SE, Grand Rapids, MI 49507. The listed phone number is (616) 308-3671.

What is Tyra 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 Tyra Smith was last updated on December 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.