Individual
MRS. ANNALEECE MARIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
210 MORRIS AVE, CARTHAGE, TN 37030-1220
(615) 474-3767
Mailing address
210 MORRIS AVE, CARTHAGE, TN 37030-1220
(615) 474-3767
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
23-272438
TN
Other
Enumeration date
11/24/2023
Last updated
11/24/2023
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