Most Relevant Information
Provider Data
| NPI Number: | 1003471905 |
| Provider Name: | KATHERINE JOYCE SMITH MED, BCBA |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | 1-18-33744 |
Most Important Dates
| Enumeration Date: | 05/06/2019 |
| Last Updated: | 05/06/2019 |
Provider Practice Location
8374 SIX FORKS RD STE 101
RALEIGH
NC
276155096
Practice Location Phone/Fax
| Phone: | 9198905498 |
| Fax: |
Provider Mailing Location
8374 SIX FORKS RD STE 101
RALEIGH
NC
276155096
Provider Mailing Phone/Fax
| Phone: | 9198905498 |
| Fax: |