Individual
EBONY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1110 13TH ST STE D, COLUMBUS, GA 31901-2246
(888) 963-2228
Mailing address
303 PARDUE DR, THOMASTON, GA 30286-5159
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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