Alyssa R. Smith, BCBA

Behavior Analyst · Fort Wayne, IN

Individual Active NPI

NPI number 1013571066

Practice location

4422 E State Blvd
Fort Wayne, IN 46815-6917
Phone
(260) 471-9263
Fax
(317) 520-8200

Open in Google Maps

NPI record

NPI
1013571066
Entity type
Individual (Type 1)
Enumeration date
April 25, 2019
Last updated
May 27, 2026
Certified
May 27, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X 1-25-81938 IN
Behavior Technician 106S00000X RBT-18-74244 IN

Mailing address

3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone
(855) 324-0885
Fax
(317) 520-8200

Other practice locations (1)

  • 6131 N Clinton St, Fort Wayne, IN 46825-4905 · (260) 459-6040

About Alyssa Smith

Alyssa R. Smith, BCBA is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 4422 E State Blvd, Fort Wayne, IN 46815-6917. The NPI number 1013571066 was assigned on April 25, 2019 and the record was last updated on May 27, 2026.

Alyssa Smith lists 2 licenses in the registry: #1-25-81938 (IN) for Behavior Analyst; #RBT-18-74244 (IN) for Behavior Technician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Alyssa R. Smith, BCBA?

The NPI number is 1013571066.

What is the phone number of Alyssa Smith?

The phone number listed for the practice location is (260) 471-9263.

Where is Alyssa Smith located?

4422 E State Blvd, Fort Wayne, IN 46815-6917.

What is the taxonomy code for Alyssa Smith?

The primary taxonomy code is 103K00000X – Behavior Analyst; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Behavior Analyst providers in Fort Wayne

All Behavior Analyst providers in Fort Wayne, IN →