Healthcare Provider Details

I. General information

NPI: 1851226765
Provider Name (Legal Business Name): BRIANNA NICOLE LYNN SMITH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2315 SCHNEIDER AVE APT 4
AUBURN NE
68305-3063
US

IV. Provider business mailing address

2315 SCHNEIDER AVE APT 4
AUBURN NE
68305-3063
US

V. Phone/Fax

Practice location:
  • Phone: 660-787-9218
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: