Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

KALISSA JO SMIDDY
NPI 1992624100
Behavior Technician in Davenport, IA

Active since July 13, 2026
4959 UTICA RIDGE RD, DAVENPORT, IA 52807(563) 362-9631 Get Directions Write a Review

NPPES record added: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kalissa Jo Smiddy NPPES

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

KALISSA JO SMIDDY (NPI 1992624100) is an individual behavior technician in Davenport, Iowa, licensed in Iowa (RBT-26-2829318) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1992624100
Entity TypeIndividual
Primary Taxonomy106S00000X
Provider Legal NameKALISSA JO SMIDDY
Location Address4959 UTICA RIDGE RDDavenport, IA 52807-3063
Mailing Address4959 Utica Ridge RdDavenport, IA 52807-3063
Sole ProprietorNo
Enumeration DateJuly 13, 2026
NPPES CertifiedJuly 13, 2026
NPI 1992624100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
License Licensed in IA · RBT-26-2829318
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.

4959 UTICA RIDGE RD, Davenport, IA 52807

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
4959 UTICA RIDGE RD
DAVENPORT, IA 52807
Behavior Technician
4959 UTICA RIDGE RD
DAVENPORT, IA 52807
Behavior Technician
4959 UTICA RIDGE RD
DAVENPORT, IA 52807
Technician
4959 UTICA RIDGE RD
DAVENPORT, IA 52807
Behavior Technician
4959 UTICA RIDGE RD
DAVENPORT, IA 52807
Behavior Analyst
4959 UTICA RIDGE RD
DAVENPORT, IA 52807
Behavior Technician
4959 UTICA RIDGE RD
DAVENPORT, IA 52807
Behavior Technician
4959 UTICA RIDGE RD
DAVENPORT, IA 52807

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 Kalissa Smiddy's NPI number?

The NPI number for Kalissa Smiddy is 1992624100. It was assigned to this individual provider in the NPPES registry on July 13, 2026.

Where is Kalissa Smiddy located?

Kalissa Smiddy practices at 4959 Utica Ridge Rd, Davenport, IA 52807. The listed phone number is (563) 362-9631.

What is Kalissa Smiddy'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 Kalissa Smiddy was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.