Individual
RUDEAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 BERGEN ST APT 4H, BROOKLYN, NY 11213-1657
(518) 496-8359
Mailing address
1400 BERGEN ST APT 4H, BROOKLYN, NY 11213-1657
(518) 496-8359
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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