Individual
MRS. KIRSTIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3310 S BROADWAY AVE STE 100A, TYLER, TX 75701-7818
(903) 991-8048
Mailing address
4534 BRUSHY CREEK CV, TYLER, TX 75703-4057
(870) 784-1421
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
8986
TX
Other
Enumeration date
01/13/2016
Last updated
09/12/2025
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