Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY J SMITH, BCBA
Active Sole ProprietorKELLY J SMITH, BCBA is a Behavior Analyst healthcare provider located in GREEN BAY, Wisconsin. NPI 1205335171 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · GREEN BAY, WI
Registration Details
- NPI Number
- 1205335171
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 6, 2018 (8.4887856944292 yrs)
- Last Updated
- Feb 6, 2018
- License
-
213-140 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
986 LAKEVIEW DRGREEN BAY, WI, 543138818Browse WI providers · Browse ZIP 54313
- Phone
- 9205444970
- Primary Specialty
-
Behavior Analyst
103K00000X
Other Behavior Analyst Providers in GREEN BAY, WI
| Name | Credential | NPI |
|---|---|---|
| BRITTANY LEIGH-BYRNE CAHILL | M.S, BCBA | 1093118317 |
| ASHLEY DESANCTIS | BCBA | 1699130880 |
| TRACY FOCHS | BCBA | 1679938864 |
| LESLEY S KLETT | BCBA | 1285099465 |
| CIERRA SMITH | BCBA | 1154786333 |
| CHRISTOPHER R VANDYKE | M.S., BCBA | 1295189488 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.