Individual
JANICE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2146 E NEWCASTLE DR, SANDY, UT 84093-1621
(181) 896-0551
Mailing address
2146 E NEWCASTLE DR, SANDY, UT 84093-1621
(818) 960-5512
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-54584
CA
106E00000X
Assistant Behavior Analyst
0-18-9316
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0-18-9318
BEHAVIOR ANALYST CERTIFICATION BOARD (BACB)
CA
01
—
1-21-54584
BOARD CERTIFIED BEHAVIOR ANALYST
CA
Enumeration date
02/26/2019
Last updated
01/12/2024
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