Individual
ELIZABETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LBA
Contact information
Practice address
4909 25TH AVE NE, SEATTLE, WA 98105-4107
(206) 987-4724
Mailing address
4909 25TH AVE NE, SEATTLE, WA 98105-4107
(206) 987-4724
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-23817
CT
Other
Enumeration date
04/10/2018
Last updated
02/14/2022
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