MEDICARE: SARA KEYSER SMITH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	1-26-86998	CO

General Provider Information

NPI Number	:	1033716584
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA KEYSER SMITH

Provider Business Mailing Address
First Line	:	333 W 41ST ST STE 414
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-3608
Country	:	US
Telephone Number	:	786-673-9355
Fax Number	:	954-342-6481

Provider Business Practice Location Address
First Line	:	100 TECHNOLOGY DR BLDG C
Second Line	:
City	:	BROOMFIELD
State	:	CO
Zip	:	80021-3498
Country	:	US
Telephone Number	:	720-319-7614
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/07/2020
Last Update Date	:	01/20/2026

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Directions to “ SARA KEYSER SMITH ” Practice Location

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