Individual
MS. HEIDI LYN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4445 CORPORATION LN STE 245, VIRGINIA BEACH, VA 23462-3676
(757) 233-0003
Mailing address
3627 ORANGE ST, NORFOLK, VA 23513-4025
(330) 289-6009
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133001991
VA
Other
Enumeration date
07/14/2015
Last updated
05/09/2025
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