Individual
JESSICA LEIGH SMITH-BRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 TOWER CIR, SOMERSET, KY 42503-3480
(606) 416-5139
Mailing address
624 SYCAMORE DR, BRONSTON, KY 42518-9526
(606) 307-0036
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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