Smith, Carla Michelle
Smith, Carla Michelle is an individual health care provider with primary practice located at 1300 W Lancaster Ave , Fort Worth TX 76102-3410. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Smith, Carla Michelle can be contacted via phone (817) 336-8611.Contact Information
Primary practice address
1300 W Lancaster Ave
Fort Worth TX 76102-3410
Phone: (817) 336-8611
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 10-10-7912 | Texas |
Profile Details
| NPI number | 1710246343 |
|---|---|
| LBN Legal business name | Smith, Carla Michelle |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2012 |
| Last updated | May 16th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710246343 | NPPES |
| Texas | Other | 1-10-7912 | BOARD CERTIFIED BEHAVIOR ANALYST |
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