Individual
MS. DEBRA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
36 GOTHAM AVE, BROOKLYN, NY 11229
(718) 934-0779
Mailing address
36 GOTHAM AVE, BROOKLYN, NY 11229-6012
(718) 934-0779
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
655683
NY
Other
Enumeration date
09/18/2013
Last updated
09/20/2013
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