Individual
KASEY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3208 GULF BREEZE PKWY, GULF BREEZE, FL 32563-3350
(800) 676-5130
Mailing address
6897 W CHARLESTON BLVD, LAS VEGAS, NV 89117-1640
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/06/2017
Last updated
09/24/2019
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