Healthcare Provider Details
I. General information
NPI: 1992625719
Provider Name (Legal Business Name): ALANA SMILEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
127 MAYFIELD DR
GOOSE CREEK SC
29445-7303
US
IV. Provider business mailing address
127 MAYFIELD DR
GOOSE CREEK SC
29445-7303
US
V. Phone/Fax
- Phone: 843-518-1824
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106S00000X |
| Taxonomy | Behavior Technician |
| License Number | |
| License Number State | SC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: