Individual
KATELYN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1836 NW 52ND ST # B, LAWTON, OK 73505-3122
(910) 824-1199
Mailing address
6708 SW FOREST CIR, LAWTON, OK 73505-6715
(910) 824-1199
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/31/2022
Last updated
03/31/2025
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