Individual
IVY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10202 5TH AVE NE FL 2, SEATTLE, WA 98125-7472
(877) 264-6747
Mailing address
295 89TH ST STE 306, DALY CITY, CA 94015-1656
(877) 264-6747
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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