Individual
NICOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
14 CLIFFWOOD AVE STE 101, MATAWAN, NJ 07747-3908
(732) 466-3993
Mailing address
14 STILES RD, EDISON, NJ 08817-4137
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-332823
IN
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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