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Individual

MRS. EVONNEY SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4460 S FM 1626 STE 300, KYLE, TX 78640-2976
(737) 404-3800
Mailing address
4460 S FM 1626 STE 300, KYLE, TX 78640-2976

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
5762
TX
106S00000X
Behavior Technician
TX

Other

Enumeration date
05/25/2021
Last updated
04/05/2023
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