Kolbi Smith

Individual provider Active NPI Behavior Technician · W. Metairie, LA

NPI 1376359414 · NPPES record last updated Dec 4, 2024

Key facts

NPI
1376359414
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
4202 N Interstate 10 Service Road
W. Metairie, LA 70006
Phone
(888) 880-9270
NPI assigned
Dec 4, 2024
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X LA Yes

Addresses

Primary practice location

4202 N Interstate 10 Service Road
W. Metairie, LA 70006

Mailing address

350 Fairway Dr Ste 101
Deerfield Beach, FL 33441-1834
Phone (877) 418-2978

Other providers in W. Metairie, LA

All providers in W. Metairie, LA · Behavior Technician in Louisiana

Sources for this page

Verify at the official NPI Registry.