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NPI Code Detail

MEDICARE: KARLA CAISON SMITH DAVIS BCBA

MEDICARE: KARLA CAISON SMITH DAVIS 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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1982128450
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARLA CAISON SMITH DAVIS BCBA
Provider Business Mailing Address
First Line : 314 PINECROFT DR
Second Line :
City : DUNN
State : NC
Zip : 28334-8950
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4929 DARCY WOODS LN
Second Line :
City : FUQUAY VARINA
State : NC
Zip : 27526-7622
Country : US
Telephone Number : 919-810-1459
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2017
Last Update Date : 09/08/2025

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