Individual
MATTHEW SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5077 DALLAS HWY STE 301, POWDER SPRINGS, GA 30127-4510
(770) 763-8592
Mailing address
6160 DUE WEST RD NW, KENNESAW, GA 30152-3732
(404) 573-7468
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-86604
GA
Other
Enumeration date
12/22/2025
Last updated
12/22/2025
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