Individual
MELODY JEAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBA
Contact information
Practice address
712 KLEIN RD, WILLIAMSVILLE, NY 14221-2739
(716) 525-4947
Mailing address
712 KLEIN RD, WILLIAMSVILLE, NY 14221-2739
(716) 525-4947
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
000983
NY
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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