Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicole Smith

Individual provider Behavior Technician · NPI 1336684992

Nicole Smith is a Behavior Technician in Lauderdale Lakes, Florida. Works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

4620 N State Road 7 Ste 300
Lauderdale Lakes, FL 33319-5867
Phone: (561) 903-1995
Fax: (561) 997-1246
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 475 S John Rodes Blvd, Melbourne, FL 32904-1093 — (321) 241-1170

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X (FL)
Behavior Technician Taxonomy 106S00000X · Licence R400625929040 (FL)

Record details

NPI number1336684992
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 5, 2017
Last updated in NPPESNovember 7, 2024
Certification dateNovember 7, 2024

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