Individual
ALISHA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9096 REXIS AVE, PERRY HALL, MD 21128-9021
(443) 453-2031
(443) 216-7397
Mailing address
1101 GLEMSFORD RD, ESSEX, MD 21221-5545
(443) 616-7513
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-17-30088
MD
Other
Enumeration date
06/01/2021
Last updated
10/26/2022
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