Healthcare Provider Details

I. General information

NPI: 1649141268
Provider Name (Legal Business Name): RAVEN KIANA SMITH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2025
Last Update Date: 10/24/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 WHISPERING WIND DR
TRACY CA
95377-8119
US

IV. Provider business mailing address

7500 SAN FELIPE ST
HOUSTON TX
77063-1707
US

V. Phone/Fax

Practice location:
  • Phone: 209-832-7756
  • Fax:
Mailing address:
  • Phone: 866-610-0580
  • Fax: 866-611-1558

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: