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Individual

BRITTANY SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
40 MATTHEWS ST STE 104, GOSHEN, NY 10924-1987
(607) 772-6904
Mailing address
1182 CHENANGO ST, BINGHAMTON, NY 13901-1653
(607) 772-6904

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
129927-01
NY
106S00000X
Behavior Technician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
O2997780
NY
Enumeration date
02/28/2019
Last updated
03/04/2026
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