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Individual

EMILY SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
47 CLIFFORD PL, EAST NORWICH, NY 11732-1309
(516) 941-5743
Mailing address
341 TRINITY PL, MALVERNE, NY 11565-1234
(516) 299-1194

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
NY

Other

Enumeration date
01/30/2022
Last updated
01/30/2022
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