Individual
RYAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
225 GRAND ST PH 5, JERSEY CITY, NJ 07302-7456
(631) 807-0176
Mailing address
225 GRAND ST PH 5, JERSEY CITY, NJ 07302-7456
(631) 807-0176
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/19/2021
Last updated
12/19/2021
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