Isaac Smith

Behavior Analyst · Grand Rapids Mi, MI

Individual Active NPI

NPI number 1083189922

Practice location

625 Kenmoor Ave Suite 301
PMB 95061
Grand Rapids Mi, MI 49546
Phone
(267) 300-4857

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NPI record

NPI
1083189922
Entity type
Individual (Type 1)
Enumeration date
October 8, 2018
Last updated
March 9, 2025
Certified
March 9, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X — —
Behavior Analyst 103K00000X 7401001192 MI

Mailing address

PO Box 491
Howard City, MI 49329-0491
Phone
(267) 300-4857

About Isaac Smith

Isaac Smith is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 625 Kenmoor Ave Suite 301, PMB 95061, Grand Rapids Mi, MI 49546. The NPI number 1083189922 was assigned on October 8, 2018 and the record was last updated on March 9, 2025.

Isaac Smith lists a license in the registry: #7401001192 (MI) for Behavior Analyst. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Isaac Smith?

The NPI number is 1083189922.

What is the phone number of Isaac Smith?

The phone number listed for the practice location is (267) 300-4857.

Where is Isaac Smith located?

625 Kenmoor Ave Suite 301, PMB 95061, Grand Rapids Mi, MI 49546.

What is the taxonomy code for Isaac 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.