Organization
SMITH THE ABA SCIENTIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMESHA SMITH QBA, LBA, IBA (CLINICAL DIRECTOR/CEO)
(786) 506-1326
Entity
Organization
Contact information
Practice address
1300 RIDENOUR BLVD NW STE 100, KENNESAW, GA 30152-4528
(470) 232-0073
(470) 232-0076
Mailing address
1300 RIDENOUR BLVD NW STE 100, KENNESAW, GA 30152-4528
(470) 232-0073
(470) 232-0076
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/10/2025
Last updated
11/17/2025
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