Individual
ANNA CAMILLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
1680 S JEFFERSON AVE STE F&G, COOKEVILLE, TN 38506-2526
(844) 244-1818
Mailing address
1680 S JEFFERSON AVE STE F&G, COOKEVILLE, TN 38506-2526
(844) 244-1818
(305) 846-9711
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
858
TN
106S00000X
Behavior Technician
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—
Other
Enumeration date
06/17/2021
Last updated
09/15/2021
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