Individual
MALCOLM TYVONNE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
1889 ANDREWS AVE, OZARK, AL 36360-3729
(334) 493-5712
Mailing address
1889 ANDREWS AVE, OZARK, AL 36360-3729
(334) 493-5712
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB1263989
AL
Other
Enumeration date
04/16/2025
Last updated
04/16/2025
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