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NPI Code Detail

MEDICARE: NATALIE SMITH BCBA

MEDICARE: NATALIE SMITH BCBA
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
1106S00000XBehavior Technician
2103K00000XBehavior Analyst12257947

General Provider Information

NPI Number : 1790382612
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALIE SMITH BCBA
Provider Business Mailing Address
First Line : 840 PROSPECTOR TRL
Second Line :
City : HARKER HEIGHTS
State : TX
Zip : 76548-2700
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 150 W SUNSET RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78209-2633
Country : US
Telephone Number : 254-833-3700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2020
Last Update Date : 02/16/2022

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