Smith, Carla Michelle

Smith, Carla Michelle is an individual health care provider with primary practice located at 1300 W Lancaster Ave , Fort Worth TX 76102-3410. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Smith, Carla Michelle can be contacted via phone (817) 336-8611.

Contact Information

Primary practice address
1300 W Lancaster Ave Fort Worth TX 76102-3410
Phone: (817) 336-8611
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 10-10-7912 Texas

Profile Details

NPI number 1710246343
LBN Legal business name Smith, Carla Michelle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2012
Last updated May 16th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710246343 NPPES
Texas Other 1-10-7912 BOARD CERTIFIED BEHAVIOR ANALYST

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