Individual
KAITLYN JAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1274 JOE FRANK HARRIS PKWY SE, CARTERSVILLE, GA 30120-4211
(470) 473-5920
(888) 979-8504
Mailing address
9940 HIGHWAY 92, WOODSTOCK, GA 30188-6417
(770) 833-5762
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-68828
GA
Other
Enumeration date
06/02/2023
Last updated
10/31/2023
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