Individual
NICOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBS
Contact information
Practice address
29 COVINGTON PL, CATASAUQUA, PA 18032-1012
(631) 942-9942
Mailing address
29 COVINGTON PL, CATASAUQUA, PA 18032-1012
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH004095
PA
Other
Enumeration date
06/14/2021
Last updated
04/03/2024
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