Individual
ALEXIS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
9379 FORESTWOOD LN, MANASSAS, VA 20110-4760
(571) 330-7006
(571) 292-1703
Mailing address
PO BOX 2393, MANASSAS, VA 20108-0841
(571) 330-7006
(571) 292-1703
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133002557
VA
103K00000X
Behavior Analyst
2792
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0133002557
LBA
VA
01
—
1-21-55439
BCBA
VA
Enumeration date
09/05/2019
Last updated
05/14/2025
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