Individual
TAWNY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
631 S LAKE DR, PRESTONSBURG, KY 41653-1339
(066) 430-2256
Mailing address
PO BOX 432, PIKEVILLE, KY 41502-0432
(606) 430-2256
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
291118
KY
106S00000X
Behavior Technician
RBT-22-206163
KY
Other
Enumeration date
02/14/2017
Last updated
05/23/2024
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