Individual
SHADI SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A
Contact information
Practice address
4688 ONTARIO MILLS PKWY, ONTARIO, CA 91764-5104
(909) 476-5747
Mailing address
4688 ONTARIO MILLS PKWY, ONTARIO, CA 91764-5104
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
06/30/2020
Last updated
06/30/2020
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