Smith, Gaetanina
Smith, Gaetanina is an sole proprietor health care provider with primary practice located at 328 Glen St , Summerville SC 29483-4653. 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, Gaetanina can be contacted via phone (843) 934-1968.Contact Information
Primary practice address
328 Glen St
Summerville SC 29483-4653
Phone: (843) 934-1968
Fax: (888) 298-0519
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-21-51882 |
Profile Details
| NPI number | 1932872512 |
|---|---|
| LBN Legal business name | Smith, Gaetanina |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 29th, 2021 |
| Last updated | Jul 29th, 2021 - about 4 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 | 1932872512 | NPPES |
| Other | 1-21-51882 | BACB |
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