Individual
ROBERT STANLEY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA, LABA
Contact information
Practice address
20 DEERFIELD LN, EASTHAM, MA 02642-2250
(617) 471-5497
Mailing address
20 DEERFIELD LN, EASTHAM, MA 02642-2250
(617) 471-5497
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
15
MA
Other
Enumeration date
04/06/2018
Last updated
04/06/2018
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