Individual
CEASHA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
431 LOS ALTOS WAY APT 103, ALTAMONTE SPRINGS, FL 32714-3273
(917) 704-4653
Mailing address
431 LOS ALTOS WAY APT 103, ALTAMONTE SPRINGS, FL 32714-3273
(917) 704-4653
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-72829
FL
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101015400
—
FL
Enumeration date
03/14/2019
Last updated
02/07/2025
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