Kassie Rhea Smith, MA, LBA, BCBA
Individual provider Active NPI Behavior Analyst · Emory, TX
NPI 1568032035 · NPPES record last updated Jun 28, 2021
Key facts
- NPI
- 1568032035
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 4153 (TX)
- Practice address
- 210 RSCR 3200
Emory, TX 75440-4272 - Phone
- (903) 269-8485
- NPI assigned
- Jun 28, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 4153 | TX | Yes |
Addresses
Primary practice location
210 RSCR 3200
Emory, TX 75440-4272
Mailing address
210 RSCR 3200
Emory, TX 75440-4272
Phone (903) 269-8485
Other names
- Kassie Rhea Smith
Other providers in Emory, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.