Individual
DO COSTA SINCLAIR SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
8604 MARJORIE LN, STROUDSBURG, PA 18360-9244
(610) 707-1487
(610) 707-1487
Mailing address
PO BOX 491, REEDERS, PA 18352-0491
(610) 707-1487
(610) 707-1487
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/05/2009
Last updated
11/05/2009
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