Individual
ERICA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1212 AUGUSTA WEST PKWY STE 1B, AUGUSTA, GA 30909-1808
(706) 826-2770
(706) 826-2771
Mailing address
1212 AUGUSTA WEST PKWY, AUGUSTA, GA 30909-1808
(706) 826-2770
(706) 826-2771
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-278621
GA
Other
Enumeration date
06/12/2023
Last updated
09/11/2024
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