Individual
ASHLEY ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2542 VT ROUTE 105, NEWPORT CENTER, VT 05857-9712
(518) 319-6116
Mailing address
14271 STATE ROUTE 30, MALONE, NY 12953-5509
(518) 319-6116
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
001542
NY
Other
Enumeration date
11/06/2020
Last updated
11/06/2020
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