Individual
TAYLOR JO SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBS
Contact information
Practice address
560 VAN REED RD, WYOMISSING, PA 19610-1799
(888) 726-4774
Mailing address
785 5TH AVE STE 3, CHAMBERSBURG, PA 17201-4232
(717) 263-9555
(717) 709-6529
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH005081
PA
103K00000X
Behavior Analyst
—
PA
103K00000X
Behavior Analyst
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH005081
STATE LICENSE - BEHAVIORAL HEALTH
PA
Enumeration date
01/08/2021
Last updated
03/07/2023
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