Individual
MR. CHRISTOPHER MATTHEW SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, BSL, BCBA
Contact information
Practice address
400 W LANCASTER AVE, DEVON, PA 19333-1531
(610) 999-6414
Mailing address
1801 BUTLER PIKE APT 253, CONSHOHOCKEN, PA 19428-3150
(814) 248-0615
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103K00000X
Behavior Analyst
Primary
1-21-56496
—
Other
Enumeration date
01/05/2011
Last updated
01/10/2023
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