Individual
ASHLEY ELIZABETH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
109 ONEAL CT, ANDALUSIA, AL 36420-3803
(334) 379-1043
Mailing address
109 ONEAL CT, ANDALUSIA, AL 36420-3803
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1094357
AL
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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