Individual
BRIANNA SMOTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3898 NEW VISION DR STE D, FORT WAYNE, IN 46845-1719
(260) 425-5310
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/12/2021
Last updated
10/26/2023
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