Individual
MRS. STACY KAY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS MBA MA RBC EDS
Contact information
Practice address
3304 S NEBRASKA ST, MARION, IN 46953-4244
(765) 573-5869
Mailing address
3304 S NEBRASKA ST, MARION, IN 46953-4244
(765) 573-5869
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/10/2026
Last updated
04/10/2026
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