Individual
KAITLIN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
101 VIRGINIA AVE, WILMINGTON, NC 28401-7000
(919) 375-0475
Mailing address
914 POTOMAC DR, WILMINGTON, NC 28411-1065
(910) 789-1271
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-42661
NC
Other
Enumeration date
06/17/2020
Last updated
12/26/2023
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