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Individual

EMILY SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
1330 QUAIL LAKE LOOP STE 200, COLORADO SPRINGS, CO 80906-4651
(719) 540-2108
Mailing address
1330 QUAIL LAKE LOOP STE 200, COLORADO SPRINGS, CO 80906-4651
(719) 540-2108

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-78543
CO
106E00000X
Assistant Behavior Analyst
106S00000X
Behavior Technician

Other

Enumeration date
09/30/2020
Last updated
01/02/2025
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