Individual
KYRA SMALLWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
317 SYLVAN ST STE B, CHATTANOOGA, TN 37405-2700
(423) 802-1982
Mailing address
1543 PICKETT RD, SIGNAL MOUNTAIN, TN 37377-7749
(615) 540-7150
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-47674
TN
Other
Enumeration date
02/15/2021
Last updated
02/15/2021
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