MEDICARE: NICOLE 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	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1821944455
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE SMITH

Provider Business Mailing Address
First Line	:	850 TOWBIN AVE
Second Line	:
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-5928
Country	:	US
Telephone Number	:	833-566-2560
Fax Number	:	833-566-2560

Provider Business Practice Location Address
First Line	:	3070 RIVERSIDE DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43221-2547
Country	:	US
Telephone Number	:	866-523-4268
Fax Number	:

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

Provider Enumeration Date	:	03/06/2026
Last Update Date	:	03/06/2026

Similar Medicare Providers

1851247415 — ANGELA PARKS
Practice Location Address:

3070 RIVERSIDE DR
COLUMBUS, OH
43221-2547

Practice Phone: 866-523-4268
Practice Fax:

1366634529 — ELIZABETH HENRY MS
Practice Location Address:

3070 RIVERSIDE DR # 200
COLUMBUS, OH
43221-2547

Practice Phone: 614-208-9363
Practice Fax:

1437387339 — MARYANNE LINDER L.AC.
Practice Location Address:

3070 RIVERSIDE DR , SUITE 160
COLUMBUS, OH
43221-2547

Practice Phone: 614-487-0874
Practice Fax:

1851702377 — MR. ANTHONY MILLER M.S. BCBA,COBA
Practice Location Address:

3070 RIVERSIDE DR STE 200
COLUMBUS, OH
43221-2547

Practice Phone: 866-523-4268
Practice Fax:

1720484355 — DONNA REBECCA LYDY BCBA, COBA, LBA
Practice Location Address:

3070 RIVERSIDE DR STE 200
COLUMBUS, OH
43221-2547

Practice Phone: 866-523-4268
Practice Fax:

1124407572 — KADIANT PATHFINDER
Practice Location Address:

3070 RIVERSIDE DR STE 200
COLUMBUS, OH
43221-2547

Practice Phone: 866-523-4268
Practice Fax:

Directions to “ NICOLE SMITH ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.