Individual
ISHA SMITH-RAMAKRISHNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
965 FELLSWAY APT 12, MEDFORD, MA 02155-4162
(315) 520-3035
Mailing address
965 FELLSWAY APT 12, MEDFORD, MA 02155-4162
(315) 520-3035
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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