Individual
MRS. KASSIE RHEA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LBA, BCBA
Contact information
Practice address
210 RSCR 3200, EMORY, TX 75440-4272
(903) 269-8485
Mailing address
210 RSCR 3200, EMORY, TX 75440-4272
(903) 269-8485
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
4153
TX
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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