Individual
ANGELIQUE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
49 CROWN ST APT 13H, BROOKLYN, NY 11225-1820
(347) 552-2709
Mailing address
49 CROWN ST APT 13H, BROOKLYN, NY 11225-1820
(347) 552-2709
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NY
Other
Enumeration date
11/10/2021
Last updated
11/10/2021
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