Individual
ANDREW SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11865 WEXFORD CLUB DR, ROSWELL, GA 30075-1471
(925) 752-2119
Mailing address
7013 SOMERSET CIR, ALPHARETTA, GA 30004-3847
(678) 448-6361
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-66257
GA
106S00000X
Behavior Technician
—
GA
Other
Enumeration date
02/03/2021
Last updated
07/05/2023
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