Stephanie Smith, BCBA
Behavior Analyst in Charlotte, NC. Individual provider (NPI-1).
NPI number1902374580
StatusActive
Last updated in NPPESDec 22, 2025
Details
- NPI
- 1902374580
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Smith
- Credential
- BCBA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 13, 2018
- Certification date
- Dec 22, 2025
- Last updated
- Dec 22, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-21-49145 | NC | Yes |
| 106S00000X | Behavior Technician | RBT-18-69642 | NC |
Practice location
2301 Crownpoint Executive Dr Ste ECharlotte, NC 28227-6725
Phone 704-708-8314 · Fax 704-708-8315
Mailing address
814 Tyvola Rd Ste 126Charlotte, NC 28217-3539
Phone 980-785-1113
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