Individual
HEATHER A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
148 DOUGHTY BLVD STE 260, INWOOD, NY 11096-2054
(917) 688-9644
Mailing address
1404 S 14TH ST, RICHMOND, IN 47374-7051
(765) 969-8029
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
RBT-23-314357
IN
106S00000X
Behavior Technician
RBT-23-314357
IN
Other
Enumeration date
05/17/2021
Last updated
03/08/2025
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