MEDICARE: SARAH SMITHSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1699621474
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH SMITHSON

Provider Business Mailing Address
First Line	:	45 CHEROKEE RIDGE CT
Second Line	:
City	:	JOHNSON CITY
State	:	TN
Zip	:	37604-3767
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2004 AMERICAN WAY STE 109
Second Line	:
City	:	KINGSPORT
State	:	TN
Zip	:	37660-5892
Country	:	US
Telephone Number	:	423-530-7600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2026
Last Update Date	:	03/05/2026

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Directions to “ SARAH SMITHSON ” Practice Location

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