Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | 0-21-13215 | TX |
N | 106S00000X | Behavior Technician | RBT-20-114985 | TX |
NPI | 1003402611 |
---|---|
Provider Name | Rayla Hope Smith |
First Address | Rockwall, TX 75087-2230 |
Second Address | Forney, TX 75126-9148 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/12/2020 |
Last Update Date | 19/01/2022 |