Individual
MRS. BRANDI SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
1583 E 85TH AVE, MERRILLVILLE, IN 46410-8901
(219) 902-5118
Mailing address
417 W 81ST AVE, MERRILLVILLE, IN 46410-5317
(219) 902-5118
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-27388
IN
Other
Enumeration date
08/16/2017
Last updated
07/21/2022
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