Taneisha Odessa Smith

Behavior Technician · Lusby, MD

Individual Active NPI

NPI number 1053240697

Practice location

12525 Santa Domingo Dr
Lusby, MD 20657-4594
Phone
(410) 231-0471

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NPI record

NPI
1053240697
Entity type
Individual (Type 1)
Enumeration date
May 19, 2026
Last updated
May 19, 2026
Certified
May 18, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

About Taneisha Smith

Taneisha Odessa Smith is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 12525 Santa Domingo Dr, Lusby, MD 20657-4594. The NPI number 1053240697 was assigned on May 19, 2026 and the record was last updated on May 19, 2026.

Frequently asked questions

What is the NPI number of Taneisha Odessa Smith?

The NPI number is 1053240697.

What is the phone number of Taneisha Smith?

The phone number listed for the practice location is (410) 231-0471.

Where is Taneisha Smith located?

12525 Santa Domingo Dr, Lusby, MD 20657-4594.

What is the taxonomy code for Taneisha Smith?

The primary taxonomy code is 106S00000X – Behavior Technician.

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.

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