Organization
ZOE CENTER FOR ABA AND DEVELOPMENT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY LYNN SMITH-KONG BCBA (CEO)
(888) 963-2228
Entity
Organization
Contact information
Practice address
1110 13TH STREET, SUITE D, COLUMBUS, GA 31901
(888) 963-2228
(706) 780-1705
Mailing address
1110 13TH STREET, SUITE D, COLUMBUS, GA 31901
(888) 963-2228
(706) 780-1705
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
2080P0006X
Developmental - Behavioral Pediatrics Physician
39388
GA
2080P0006X
Developmental - Behavioral Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
956718471
—
GA
Enumeration date
03/08/2018
Last updated
10/28/2024
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