Smith, Tracy Lynn
Smith, Tracy Lynn is an individual health care provider with primary practice located at 1110 13Th St Ste D , Columbus GA 31901-2246. 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, Tracy Lynn can be contacted via phone (888) 963-2228.Contact Information
Primary practice address
1110 13Th St Ste D
Columbus GA 31901-2246
Phone: (888) 963-2228
Fax: (706) 780-1705
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | LBA000175 | Georgia |
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-06-2908 | Florida |
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1209 | Tennessee |
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 2019-003 | Alabama |
Profile Details
| NPI number | 1558600049 |
|---|---|
| LBN Legal business name | Smith, Tracy Lynn |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 4th, 2013 |
| Last updated | Jul 31st, 2026 - about 3 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558600049 | NPPES |
| Georgia | MEDICAID | 003205230A | |
| Georgia | MEDICAID | 243341 | |
| Georgia | MEDICAID | Q065742 | |
| Georgia | MEDICAID | 023206600 |
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