Individual
MS. SUSAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
U
Contact information
Practice address
555 RIAL LN, GREENSBURG, PA 15601-4683
(724) 834-2059
(724) 834-1471
Mailing address
555 RIAL LN, GREENSBURG, PA 15601-4683
(724) 834-2059
(724) 834-1471
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH007052
PA
Other
Enumeration date
09/06/2024
Last updated
09/06/2024
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