Individual
DONNA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 FAIRWAY DR, 102, DEERFIELD BCH, FL 33441-1814
(888) 880-9270
Mailing address
500 FAIRWAY DR, 102, DEERFIELD BCH, FL 33441-1814
(888) 880-9270
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
A11720
NC
101YM0800X
Mental Health Counselor
A11720
NC
103K00000X
Behavior Analyst
—
—
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/14/2014
Last updated
08/18/2015
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