Individual
LISA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
209 E GORDON AVE, LAYTON, UT 84041-2341
(801) 573-4832
Mailing address
1323 W 3775 N, PLEASANT VIEW, UT 84414-3311
(801) 573-4832
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-05-2391
FL
Other
Enumeration date
02/01/2010
Last updated
02/05/2020
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