Individual
SHERIDAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
100 CUMMINGS CTR STE 135C, BEVERLY, MA 01915-6263
(978) 473-7300
Mailing address
5 COLONIAL DR, MERRIMAC, MA 01860-1960
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2887
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2887
LICENSE
MA
Enumeration date
01/29/2020
Last updated
01/29/2020
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