Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTINE BREEDON SMITH, BCBA
ActiveJUSTINE BREEDON SMITH, BCBA is a Behavior Analyst healthcare provider located in MOORHEAD, Minnesota. NPI 1205442589 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · MOORHEAD, MN
Registration Details
- NPI Number
- 1205442589
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 22, 2020 (5.86202690034 yrs)
- Last Updated
- Feb 23, 2026
Practice Information
- Address
-
3151 14TH ST S APT BMOORHEAD, MN, 565605148Browse MN providers · Browse ZIP 56560
- Phone
- 7013065070
- Primary Specialty
-
Behavior Analyst
103K00000X
Other Behavior Analyst Providers in MOORHEAD, MN
| Name | Credential | NPI |
|---|---|---|
| RACHELL PETERSON | — | 1194162081 |
| JOLENE GERMAIN | — | 1790124469 |
| KATHERINE OLSON | BCBA, LABA | 1386016368 |
| RACHEL BENOLKEN | — | 1447701016 |
| JULIANA WARD SUPPA | — | 1679096069 |
| ALLISON MOUM-KASIN | — | 1396228847 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.