Individual
KINDSEY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
4943 N 29TH E STE B, IDAHO FALLS, ID 83401-1314
(307) 212-3284
Mailing address
1603 CAPITOL AVE STE 415, CHEYENNE, WY 82001-4562
(804) 614-5853
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-51672
ID
106S00000X
Behavior Technician
RBT-19-97005
ID
Other
Enumeration date
03/30/2020
Last updated
05/26/2026
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