Individual
MS. VANESSA L. SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
215 N ABERDEEN ST, B605, CHICAGO, IL 60607-1615
(312) 718-7890
Mailing address
215 N ABERDEEN ST, B605, CHICAGO, IL 60607-1615
(312) 718-7890
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/26/2010
Last updated
07/07/2011
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