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

Jenna J Smith

Individual provider Behavior Analyst · NPI 1063163517

Jenna J Smith is a Behavior Analyst in Eagan, Minnesota. Works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2

Practice location Address checks out

4635 Nicols Rd # 104
Eagan, MN 55122-3337
Phone: (612) 289-6480
Show map & directions

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

Additional practice locations (1)

  • 1600 Broadway St Ne, Minneapolis, MN 55413-2617 — (612) 412-3318

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X
Behavior Analyst Taxonomy 103K00000X

Record details

NPI number1063163517
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 17, 2022
Last updated in NPPESJanuary 10, 2025
Certification dateJanuary 10, 2025
Mailing address4635 Nicols Rd # 104, Eagan, MN 55122-3337

Other providers in Eagan