Individual
CHELSEA VICTORIA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
3744 W CHESTER PIKE, NEWTOWN SQUARE, PA 19073-3224
(610) 356-4749
Mailing address
1167 W BALTIMORE PIKE STE 228, MEDIA, PA 19063-5127
(610) 356-4749
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6006824907746020317
—
PA
Enumeration date
06/27/2017
Last updated
03/17/2018
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