Individual
MS. TAMAR SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
502 W CLAPIER ST, PHILADELPHIA, PA 19144-4801
(267) 312-3472
Mailing address
502 W CLAPIER ST, PHILADELPHIA, PA 19144-4801
(267) 312-3472
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11417289
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19472080473
NPI
PA
05
—
9853227654
—
PA
Enumeration date
05/02/2019
Last updated
05/02/2019
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