Mrs Sally Ann Smith, LMSW, BCBA is a
Behavior Analyst based in Grand Rapids, Michigan. Mrs Sally Ann Smith is licensed to practice in * (Not Available) (license number ) and her current practice location is
5242 Plainfield Ave Ne Ste A, Grand Rapids, Michigan. She can be reached at her office (for appointments etc.) via phone at
(616) 363-2200.
NPI number for Mrs Sally Ann Smith is 1669057287 and her current mailing address is 19 Radny Dr, Lowell, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1669057287.
Healthcare Provider's Profile
Full Name | Mrs Sally Ann Smith |
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Gender | Female |
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Speciality | Behavior Analyst |
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Location | 5242 Plainfield Ave Ne Ste A, Grand Rapids, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1669057287
- Provider Enumeration Date: 03/15/2021
- Last Update Date: 06/05/2024
Medical Identifiers
Medical identifiers for Mrs Sally Ann Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669057287 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 6801084828 (Michigan) | Secondary |
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Sally Ann Smith is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Sally Ann Smith, LMSW, BCBA 19 Radny Dr, Lowell, MI 49331-9131 Ph: (616) 901-7180 | Mrs Sally Ann Smith, LMSW, BCBA 5242 Plainfield Ave Ne Ste A, Grand Rapids, MI 49525-1084 Ph: (616) 363-2200 |
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