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Individual

MRS. TRACY LYNN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
1110 13TH ST STE D, COLUMBUS, GA 31901-2246
(888) 963-2228
(706) 780-1705
Mailing address
1110 13TH ST STE D, COLUMBUS, GA 31901-2246
(706) 780-1704
(706) 780-1705

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-06-2908
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003205230A
GA
05
023206600
FL
05
243341
AL
05
Q065742
TN
Enumeration date
02/04/2013
Last updated
08/14/2025
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