Individual
ANDREA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA BCBA
Contact information
Practice address
316 N LEWIS ST, LAGRANGE, GA 30240-2740
(706) 298-6381
Mailing address
PO BOX 154, LAGRANGE, GA 30241-0003
(706) 298-6381
(706) 298-6431
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-21-52517
AL
103K00000X
Behavior Analyst
Primary
1-21-52517
GA
Other
Enumeration date
08/17/2021
Last updated
07/14/2025
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