Individual
JEANNE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
112 DIVISION AVE, APT 1 E, LEVITTOWN, NY 11756
(513) 348-4633
Mailing address
112 DIVISION AVE, APT 1 E, LEVITTOWN, NY 11756
(513) 348-4633
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/20/2015
Last updated
10/20/2015
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