Individual
ALLISON SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., BCBA, LABA
Contact information
Practice address
2405 W COUNTRY CLUB DR S, FARGO, ND 58103-5738
(701) 238-3930
Mailing address
2405 W COUNTRY CLUB DR S, FARGO, ND 58103-5738
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L20
ND
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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