Individual
TIFFANY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2004 AMERICAN WAY STE 109, KINGSPORT, TN 37660-5892
(864) 641-8275
Mailing address
376 ROCK SPRINGS RD, KINGSPORT, TN 37663-3029
(864) 641-8275
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-85613
TN
Other
Enumeration date
06/28/2023
Last updated
11/10/2025
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