Individual
LAQUESHA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
6003 VETERANS PKWY, COLUMBUS, GA 31909-6200
(706) 222-1222
Mailing address
5001 RIVERCHASE DR APT 1004, PHENIX CITY, AL 36867-7475
(706) 341-9871
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-86519
GA
Other
Enumeration date
12/06/2023
Last updated
01/06/2026
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