# SUSAN SMITH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1043895139
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | 12262410 | NJ | Yes |
| 103K00000X | Behavior Analyst | — | — | — |
| 106S00000X | Behavior Technician | — | — | — |

## Other

- **Enumeration date:** 03/10/2021
- **Last updated:** 12/05/2022
