Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alyssa R Smith, BCBA

Individual provider Behavior Technician · NPI 1013571066

Alyssa R Smith, BCBA is a Behavior Technician in Fort Wayne, Indiana. Works from 2 locations. Licensed in Indiana.

Licensed in
IN
In the registry since
2019
Specialties on file
2
What do these letters mean?
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

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

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-25-81938 (IN)
Behavior Technician Taxonomy 106S00000X · Licence RBT-18-74244 (IN)

Record details

NPI number1013571066
Entity typeIndividual (Type 1)
GenderFemale
Credentials BCBA
Sole proprietorNo
NPI enumeratedApril 25, 2019
Last updated in NPPESMay 27, 2026
Certification dateMay 27, 2026
Mailing address3500 Depauw Blvd Ste 3070, Indianapolis, IN 46268-6135

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