Individual
MRS. KIMBERLEY H SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
421 OPELIKA RD, AUBURN, AL 36830-3981
(334) 826-1847
(334) 821-9601
Mailing address
421 OPELIKA RD, AUBURN, AL 36830-3981
(334) 826-1847
(334) 821-9601
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-06-2799
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
630854115
TRICARE
AL
Enumeration date
03/18/2010
Last updated
03/18/2010
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