Individual
ZACHARY ALLEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3130 N 32ND ST, PHILADELPHIA, PA 19132-1002
(215) 399-8583
Mailing address
3130 N 32ND ST, PHILADELPHIA, PA 19132-1002
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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