Individual
KELLY SMART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
30 PARK OF COMMERCE WAY STE 100, SAVANNAH, GA 31405-1358
(800) 844-1232
Mailing address
975 W HAWTHORN DR, ITASCA, IL 60143-2056
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-69857
GA
Other
Enumeration date
12/04/2023
Last updated
02/02/2025
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