Individual
STEPHANIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2301 CROWNPOINT EXECUTIVE DR STE E, CHARLOTTE, NC 28227-6725
(704) 708-8314
(704) 708-8315
Mailing address
814 TYVOLA RD STE 126, CHARLOTTE, NC 28217-3539
(980) 785-1113
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-49145
NC
106S00000X
Behavior Technician
RBT-18-69642
NC
Other
Enumeration date
11/13/2018
Last updated
12/22/2025
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