Individual
ANDREA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
843 MAIN ST, TELL CITY, IN 47586-2105
(812) 772-2351
(812) 772-2571
Mailing address
843 MAIN ST, TELL CITY, IN 47586-2105
(812) 772-2351
(812) 772-2571
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-388765
IN
Other
Enumeration date
03/13/2025
Last updated
03/13/2025
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