Smith, Madeline

Smith, Madeline is an sole proprietor health care provider with primary practice located at 7022 Sardis Rd , Charlotte NC 28270-6058. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Smith, Madeline can be contacted via phone (704) 366-8260.

Contact Information

Primary practice address
7022 Sardis Rd Charlotte NC 28270-6058
Phone: (704) 366-8260
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X RBT-17-44849 Alabama
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 17-44849 Alabama

Profile Details

NPI number 1316453400
LBN Legal business name Smith, Madeline
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 27th, 2017
Last updated May 25th, 2021 - about 5 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 1316453400 NPPES
North Carolina Other 1316453400 BCBA

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