Callie Smith
Individual provider Active NPI Behavior Technician · Woodbine, GA
NPI 1972335644 · NPPES record last updated Aug 20, 2024
Key facts
- NPI
- 1972335644
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 408 Bedell Ave
Woodbine, GA 31569-3585 - Phone
- (912) 409-7889
- NPI assigned
- Aug 20, 2024
- Sex
- Female
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
408 Bedell Ave
Woodbine, GA 31569-3585
Mailing address
3735 Providence Church Rd
White Oak, GA 31568-2870
Other providers in Woodbine, GA
- Debra J. Mims
- On the Path, LLC
- Jodi Palmer
- Melissa R Perkins
- William Blake Seymour
- Olivia Smith
- Debra M. Tait
- Traci L Wise
- Harriet Emly Witt
- Woodbine Medical, LLC
All providers in Woodbine, GA · Behavior Technician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2024. 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.