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General NPI Number Information
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NPI Number | 1306201132
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Entity Type | Individual
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Provider Name | ERICA LYNN SMITH M.S., BCBA, LBA
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Gender | Female
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Dates
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Enumeration Date | 12/21/2015
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 1300 E NEW CIRCLE RD STE 150
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City | LEXINGTON
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State | KY
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Zip | 40505-4322
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Country | US
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Telephone | 859-685-1019
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Fax | 317-520-8200
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Provider Business Mailing Address
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Address Line | 3500 DEPAUW BLVD STE 3070
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City | INDIANAPOLIS
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State | IN
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Zip | 46268-6135
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Country | US
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Telephone | 855-324-0885
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Fax | 317-520-8200
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-15-17955
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 298097
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License Number State | KY
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