Individual
ADELINE BEVERLY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5870 EL CAMINO REAL, CARLSBAD, CA 92008-8816
(760) 539-5818
Mailing address
4207 TIBERON DR, OCEANSIDE, CA 92056-4757
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
09/27/2021
Last updated
09/27/2021
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