Individual
ADELIA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16600 SHERMAN WAY STE 178, VAN NUYS, CA 91406-3875
(818) 234-1414
Mailing address
16600 SHERMAN WAY STE 178, VAN NUYS, CA 91406-3875
(818) 234-1414
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CA
Other
Enumeration date
09/15/2023
Last updated
11/15/2023
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