Individual
KRISTEN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21 BARTLETT PL, BROOKLYN, NY 11229-6087
(718) 613-9039
Mailing address
21 BARTLETT PL, BROOKLYN, NY 11229-6087
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2516798
NY
Other
Enumeration date
09/09/2016
Last updated
09/09/2016
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