Individual
QIANA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1688 MANATUCK BLVD, BAY SHORE, NY 11706-1557
(347) 723-2412
Mailing address
1688 MANATUCK BLVD, BAY SHORE, NY 11706-1557
(347) 723-2412
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/04/2020
Last updated
03/04/2020
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