Smith, Mary A

Smith, Mary A is an individual health care provider with primary practice located at 302 Wesley St Ste 1 , Johnson City TN 37601-1741. 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, Mary A can be contacted via phone (423) 282-1700.

Contact Information

Primary practice address
302 Wesley St Ste 1 Johnson City TN 37601-1741
Phone: (423) 282-1700
Fax: (423) 282-9319
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 0-07-2350

Profile Details

NPI number 1881920122
LBN Legal business name Smith, Mary A
Credentials BCABA
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2009
Last updated Oct 21st, 2009 - about 17 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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