Individual
ANNA KATHERINE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, BCBA
Contact information
Practice address
9901 N CAPITAL OF TEXAS HWY, SUITE 250, AUSTIN, TX 78759-5852
(512) 887-2126
Mailing address
12440 ALAMEDA TRACE CIR, 1226, AUSTIN, TX 78727-7600
(281) 787-0992
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-13668
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BCBA 1-13-13668
BOARD ANALYST CERTIFICATION BOARD
—
Enumeration date
07/24/2013
Last updated
07/24/2013
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