Individual
ALYSHIA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
183 GILBERT AVE, SPRINGFIELD, MA 01119-1415
(413) 330-2459
Mailing address
183 GILBERT AVE, SPRINGFIELD, MA 01119-1415
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MA
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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