Smith-Kong, Tracy Lynn

Smith-Kong, Tracy Lynn is an individual health care provider with primary practice located at 1110 13Th St Ste D , Columbus GA 31901-2246. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Smith-Kong, Tracy Lynn can be contacted via phone (888) 963-2228.

Contact Information

Primary practice address
1110 13Th St Ste D Columbus GA 31901-2246
Phone: (888) 963-2228
Fax: (706) 780-1705
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-06-2908 Florida

Profile Details

NPI number 1558600049
LBN Legal business name Smith-Kong, Tracy Lynn
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 4th, 2013
Last updated Apr 30th, 2024 - about 7 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558600049 NPPES
Florida MEDICAID 023206600
Florida MEDICAID 243341
Florida MEDICAID 003205230A

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