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Individual

ALYSHA MARIE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
650 W NEW YORK AVE, DELAND, FL 32720-5239
(386) 262-1907
Mailing address
267 N PREVATT AVE, LAKE HELEN, FL 32744-2502
(386) 956-5833
(386) 956-5833

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-5207-993764
FL

Other

Enumeration date
07/17/2025
Last updated
07/17/2025
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