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Deactivated NPI 1164911079 Deactivated / Inactive NPI Female Practitioner

Carolyn J Smith , RBT 18-

Behavior Technician • Bensenville, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Carolyn Smith has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 07, 2018
NPI Deactivation Date July 31, 2025
Total Practice Duration ~7 Years of Practice (2018 – 2025)

Professional Overview & Biography Verified Profile Summary

Carolyn Smith, RBT 18- was a registered Behavior Technician practicing in Bensenville, IL. Throughout an active medical career spanning 7 years, Carolyn Smith provided care at the practice location at 306 S MASON ST until profile deactivation on 2025-07-31.

Practice Location & Contact Primary Location

Practice Address

306 S Mason St

Bensenville, IL 601062682

Telephone 6307264968

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Bensenville, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 4.1 Yrs
Regional Practice Density
42 Specialists

Practicing in Bensenville, IL (9375 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 31, 2025

Record deactivated on July 31, 2025

NPI Profile Active May 07, 2018

NPI status registered as active in NPPES database

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Updated Practice Location May 07, 2018

Registered at 306 S MASON ST, BENSENVILLE, IL 601062682 (Tel: 6307264968)

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Updated Business Mailing Address May 07, 2018

Registered at 306 S MASON ST, BENSENVILLE, IL 601062682 (Tel: 6307264968)

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Provider Name / Credentials Updated May 07, 2018

Recorded as CAROLYN SMITH, RBT 18-49311

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 07, 2018

Behavior Technician

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Initial NPI Registration & Enumeration May 07, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164911079
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 07, 2018
Last Update: May 07, 2018
Deactivation Date: July 31, 2025

Mailing Address

306 S Mason St

Bensenville, IL 601062682

Phone: 6307264968

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.