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

Kelly Smith

Individual provider Behavior Technician · NPI 1356957435

Kelly Smith is a Behavior Technician in Portland, Oregon. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2020

Practice location Address checks out

1675 SW Marlow Ave Ste 200
Portland, OR 97225-5102
Phone: (866) 523-4268
Fax: (510) 900-4310
Show map & directions

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

Additional practice locations (1)

  • 214 Estates Dr Ste A, Roseville, CA 95678-2353 — (916) 749-4646

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (CA)

Record details

NPI number1356957435
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 23, 2020
Last updated in NPPESOctober 26, 2023
Certification dateOctober 26, 2023
Mailing address4221 Wilshire Blvd Ste 300a, Los Angeles, CA 90010-3537

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