Individual
KERRI SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9 WAGON WHEEL CT, SMITHTOWN, NY 11787-4770
(516) 443-2209
Mailing address
9 WAGON WHEEL CT, SMITHTOWN, NY 11787-4770
(516) 443-2209
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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