Individual
KATHERINE JOYCE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, BCBA
Contact information
Practice address
8374 SIX FORKS RD STE 101, RALEIGH, NC 27615-5096
(919) 890-5498
Mailing address
8374 SIX FORKS RD STE 101, RALEIGH, NC 27615-5096
(919) 890-5498
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-33744
NC
Other
Enumeration date
05/06/2019
Last updated
05/06/2019
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