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Individual

MISS BRYN SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1831 17TH CT N, LAKE WORTH, FL 33460-6437
(855) 832-6727
Mailing address
4575 SE DIXIE HWY, STUART, FL 34997-6826

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
FL

Other

Enumeration date
08/16/2017
Last updated
08/16/2017
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