Individual
JESSICA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
518 LINCOLN AVE, HULMEVILLE, PA 19047-5818
(267) 393-5229
Mailing address
518 LINCOLN AVE, HULMEVILLE, PA 19047-5818
(267) 393-5229
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH001482
PA
Other
Enumeration date
08/31/2014
Last updated
08/31/2014
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