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Amber Smith

Assistant Behavior Analyst β€’ Fort Wayne, IN

Active NPI 1245698307 Individual Practitioner Female Practitioner
Practice location in NPPES

5601 Coventry Ln
Fort Wayne, IN 468047145

Call 2604596040 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

5601 Coventry Ln

Fort Wayne, IN 468047145

Telephone 2604596040
Organization at the Same NPPES Address or Phone
Children's Autism Center, Inc Facility NPI 1215105663

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Fort Wayne and Indiana

16 active clinicians are listed under Assistant Behavior Analyst with a practice address in Fort Wayne, IN (108 in Indiana).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Fort Wayne

0% of these 16 clinicians have the CMS telehealth indicator.

0% of these 16 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-11-10
Assistant Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 106E00000X

License # reported to NPPES IN 0-15-6477

An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Indiana Professional Licensing Agency.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location November 10, 2025

Registered at 5601 COVENTRY LN, FORT WAYNE, IN 468047145 (Tel: 2604596040)

πŸ“
Updated Business Mailing Address November 10, 2025

Registered at 5601 COVENTRY LN, FORT WAYNE, IN 468047145 (Tel: 2604596040)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 10, 2025

Assistant Behavior Analyst (license number reported to NPPES: IN 0-15-6477)

βœ…
NPI Profile Active February 04, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 04, 2016

Registered at 10313 ABOITE CENTER RD, FORT WAYNE, IN 468045435 (Tel: 2604596040)

πŸ“
Business Mailing Address (Initial Record) February 04, 2016

Registered at 10313 ABOITE CENTER RD, FORT WAYNE, IN 468045435 (Tel: 2604596040)

πŸ‘€
Provider Name / Credentials (Initial Record) February 04, 2016

Recorded as AMBER SMITH

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2016

Behavior Analyst

🟒
Initial NPI Registration & Enumeration February 04, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1245698307
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 04, 2016
Last Update: November 10, 2025
Sole Proprietor: No

Mailing Address

5601 Coventry Ln

Fort Wayne, IN 468047145

Phone: 2604596040

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.