Individual
KIRSTIE MICHELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
6135 RAINBOW DR, ELKRIDGE, MD 21075-5544
(856) 993-1726
Mailing address
9367 SHARP ANTLER, COLUMBIA, MD 21045-5213
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
MD
Other
Enumeration date
06/12/2018
Last updated
06/11/2024
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