Individual
KATELYN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2785 CASON ST # 2, LAFAYETTE, IN 47904-2843
(765) 446-4185
(765) 448-1864
Mailing address
2785 CASON ST # 2, LAFAYETTE, IN 47904-2843
(765) 446-4185
(765) 448-1864
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-42260
IN
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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