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

Kalissa Jo Smiddy

Individual provider Behavior Technician · NPI 1992624100

Kalissa Jo Smiddy is a Behavior Technician in Davenport, Iowa. Licensed in Iowa. Registered with an NPI since 2026.

Licensed in
IA
In the registry since
2026

Practice location Address checks out

4959 Utica Ridge Rd
Davenport, IA 52807-3063
Phone: (563) 362-9631
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-26-2829318 (IA)

Record details

NPI number1992624100
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedJuly 13, 2026
Last updated in NPPESJuly 13, 2026
Certification dateJuly 13, 2026

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