Individual
ALYSSA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
51 SPRUCEWOOD RD, WATERTOWN, CT 06795-3316
(203) 725-2279
Mailing address
51 SPRUCEWOOD RD, WATERTOWN, CT 06795-3316
(203) 725-2279
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-15286
CT
Other
Enumeration date
03/21/2014
Last updated
03/21/2014
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