Individual
CAITLYN MARIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 S DIXON RD, KOKOMO, IN 46902-2997
(765) 210-1284
Mailing address
2900 S DIXON RD, KOKOMO, IN 46902-2997
(765) 210-1284
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-20-9980-255164
BEHAVIOR ANALYST CERTIFICATION BOARD
IN
Enumeration date
09/07/2022
Last updated
04/15/2025
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