Individual
ALEXIS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3820 FABER PLACE DR, NORTH CHARLESTON, SC 29405-8548
(843) 352-7049
Mailing address
PO BOX 931142, ATLANTA, GA 31193-1142
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
0133002557
VA
103K00000X
Behavior Analyst
Primary
1-21-55439
SC
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
07/14/2026
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