Individual
MANDY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LABA
Contact information
Practice address
97 LANGDON ST FL 1, NEWTON, MA 02458-1982
(781) 223-1675
Mailing address
97 LANGDON ST FL 1, NEWTON, MA 02458-1982
(781) 223-1675
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
MA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/27/2019
Last updated
05/27/2019
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