Individual
SHARI SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
538 BROADHOLLOW RD STE 202, MELVILLE, NY 11747-3668
(631) 385-7780
Mailing address
2450 VAN VRANKEN AVE APT A22, SCHENECTADY, NY 12308-1027
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
174400000X
Specialist
—
—
Other
Enumeration date
04/12/2017
Last updated
04/12/2017
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