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Jenna J Smith

Behavior Technician β€’ Eagan, MN

Active NPI 1063163517 Individual Practitioner Female Practitioner
Practice location in NPPES

4635 Nicols Rd # 104
Eagan, MN 551223337

Call 6122896480 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

4635 Nicols Rd # 104

Eagan, MN 551223337

Telephone 6122896480
Organization at the Same NPPES Address or Phone
Minnesota Behavioral Specialists Facility NPI 1932734811

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

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Minneapolis, MN. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2022

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 Eagan and Minnesota

317 active clinicians are listed under Behavior Technician with a practice address in Eagan, MN (16,124 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Eagan

0% of these 317 clinicians have the CMS telehealth indicator.

0% of these 317 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: 2025-01-10
Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Behavior Analyst

NUCC Taxonomy Code: 103K00000X

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing 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: Minnesota Board of Medical Practice.
Look Up on State Board Site

Secondary Practice Locations

1600 Broadway St Ne

Minneapolis, MN 554132617

Phone: 6124123318

Career & Practice History Timeline

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

8 Historical Events
πŸ“
Updated Practice Location January 10, 2025

Registered at 4635 NICOLS RD # 104, EAGAN, MN 551223337 (Tel: 6122896480)

πŸ“
Updated Business Mailing Address January 10, 2025

Registered at 4635 NICOLS RD # 104, EAGAN, MN 551223337 (Tel: 6122896480)

βœ…
NPI Profile Active January 17, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 17, 2022

Registered at 1600 BROADWAY ST NE, MINNEAPOLIS, MN 554132617 (Tel: 6124123318)

πŸ“
Business Mailing Address (Initial Record) January 17, 2022

Registered at 1600 BROADWAY ST NE, MINNEAPOLIS, MN 554132617 (Tel: 6124123318)

πŸ‘€
Provider Name / Credentials (Initial Record) January 17, 2022

Recorded as JENNA SMITH

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 17, 2022

Behavior Analyst

🟒
Initial NPI Registration & Enumeration January 17, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1063163517
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 17, 2022
Last Update: January 10, 2025
Sole Proprietor: No

Mailing Address

4635 Nicols Rd # 104

Eagan, MN 551223337

Phone: 6122896480

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.