Individual
MR. JEFFREY BRIAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EDD, LBA, BCBA-D
Contact information
Practice address
4055 N PARK LOOP STE 1000, MEMPHIS, TN 38152-4869
(320) 990-1678
(901) 678-5630
Mailing address
10385 LOBLOLLY VIEW LN, LAKELAND, TN 38002-4869
(901) 488-7830
(901) 309-0198
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
00010
TN
103TB0200X
Cognitive & Behavioral Psychologist
Primary
1-04-1533
TN
Other
Enumeration date
11/13/2007
Last updated
10/29/2020
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