KELLY SMITH
NPI 1356957435
Behavior Technician in Portland, OR

Active since September 23, 2020
1675 SW MARLOW AVE STE 200, PORTLAND, OR 97225(866) 523-4268(510) 900-4310 Get Directions Write a Review

NPPES record last updated: October 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 26, 2023, May 12, 2022, Sep 23, 2020 (3 updates tracked since 2020).

About Kelly Smith NPPES

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

KELLY SMITH (NPI 1356957435) is an individual behavior technician in Portland, Oregon and active in the NPI registry since September 2020. He maintains a secondary practice location in Roseville.

NPPES Registry Identity

NPI1356957435
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameKELLY SMITH
Location Address1675 SW MARLOW AVE STE 200Portland, OR 97225-5102
Mailing Address4221 Wilshire Blvd Ste 300aLos Angeles, CA 90010-3537 · (323) 556-3053
Fax(510) 900-4310
Sole ProprietorNo
Enumeration DateSeptember 23, 2020
Last NPPES UpdateOctober 26, 20233 updates tracked since enumeration
NPPES CertifiedOctober 26, 2023
NPI 1356957435 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.
1675 SW MARLOW AVE STE 200, Portland, OR 97225

Secondary Practice Location 1

Location 1214 Estates Dr Ste ARoseville, CA 95678-2353 · Phone (916) 749-4646 · Fax (323) 866-1880

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
1675 SW MARLOW AVE STE 200
PORTLAND, OR 97225
Behavior Technician
1675 SW MARLOW AVE STE 200
PORTLAND, OR 97225
Behavior Technician
1675 SW MARLOW AVE STE 200
PORTLAND, OR 97225
Behavior Technician
1675 SW MARLOW AVE STE 200
PORTLAND, OR 97225
Behavior Technician
1675 SW MARLOW AVE STE 200
PORTLAND, OR 97225
Behavior Technician
1675 SW MARLOW AVE STE 200
PORTLAND, OR 97225
Behavior Technician
1675 SW MARLOW AVE STE 200
PORTLAND, OR 97225
Behavior Technician
1675 SW MARLOW AVE STE 200
PORTLAND, OR 97225

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 Kelly Smith's NPI number?

The NPI number for Kelly Smith is 1356957435. It was assigned to this individual provider in the NPPES registry on September 23, 2020.

Where is Kelly Smith located?

Kelly Smith practices at 1675 SW Marlow Ave Ste 200, Portland, OR 97225. The listed phone number is (866) 523-4268.

What is Kelly 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 Kelly Smith was last updated on October 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.