Healthcare Provider Details

I. General information

NPI: 1851242200
Provider Name (Legal Business Name): LAINEE JANE KARIMI MED, BCBA, LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAINEE SMITH

II. Dates (important events)

Enumeration Date: 02/03/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 N 3RD ST STE 100
PHOENIX AZ
85004-1495
US

IV. Provider business mailing address

PO BOX 737441
CHICAGO IL
60673-7441
US

V. Phone/Fax

Practice location:
  • Phone: 602-922-6760
  • Fax: 317-520-8200
Mailing address:
  • Phone: 855-324-0885
  • Fax: 317-520-8200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberBEH-002130
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number14269485-2506
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: