Individual
ELIZABETH L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
3760 LAVISTA RD STE 102, TUCKER, GA 30084-5622
(843) 615-5545
(678) 288-7932
Mailing address
3760 LAVISTA RD STE 102, TUCKER, GA 30084-5622
(843) 615-5545
(678) 288-7932
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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