Individual
DANYELLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BEHAVIOR ANAYLST
Contact information
Practice address
693 LEESVILLE RD, LYNCHBURG, VA 24502-2828
(434) 841-0161
Mailing address
390 ROYAL CT, FOREST, VA 24551-2871
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103K00000X
Behavior Analyst
Primary
0133001049
VA
Other
Enumeration date
02/25/2016
Last updated
12/04/2017
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