Individual
SARAH J SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
801 N 29TH ST, PADUCAH, KY 42001-4056
(270) 444-9687
(270) 444-8105
Mailing address
801 N 29TH ST, PADUCAH, KY 42001-4056
(270) 444-9687
(270) 444-8105
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
244518
KY
Other
Enumeration date
01/15/2012
Last updated
02/01/2022
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