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Individual

MS. MALLORY RAYE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A., BCBA

Contact information

Practice address
17003 LANDS WAKE, SAN ANTONIO, TX 78247-6201
(575) 635-9998
Mailing address
17003 LANDS WAKE, SAN ANTONIO, TX 78247-6201

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
14162782-2506
UT
103K00000X
Behavior Analyst
Primary
9388
TX
103K00000X
Behavior Analyst
Primary
BA-193
AZ

Other

Enumeration date
10/29/2012
Last updated
03/03/2026
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