Individual
KENYETTA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
6361 TALOKAS LN, STE C140-158, COLUMBUS, GA 31909-2988
(855) 832-6727
Mailing address
6361 TALOKAS LN STE C140-158, COLUMBUS, GA 31909-2988
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-65724
GA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
04/14/2021
Last updated
10/30/2025
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