Brandy S. Smith

Behavior Analyst · Carbondale, IL

Individual Active NPI

NPI number 1235627654

Practice location

136 Premier Ln
Carbondale, IL 62902-4101
Phone
(715) 577-8764

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NPI record

NPI
1235627654
Entity type
Individual (Type 1)
Enumeration date
May 1, 2018
Last updated
May 1, 2018
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X — —

Mailing address

500 Saluki Blvd Apt 1022c
Carbondale, IL 62903-8236
Phone
(217) 663-5868

About Brandy Smith

Brandy S. Smith is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 136 Premier Ln, Carbondale, IL 62902-4101. The NPI number 1235627654 was assigned on May 1, 2018 and the record was last updated on May 1, 2018.

Frequently asked questions

What is the NPI number of Brandy S. Smith?

The NPI number is 1235627654.

What is the phone number of Brandy Smith?

The phone number listed for the practice location is (715) 577-8764.

Where is Brandy Smith located?

136 Premier Ln, Carbondale, IL 62902-4101.

What is the taxonomy code for Brandy Smith?

The primary taxonomy code is 103K00000X – Behavior Analyst.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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