Individual
CHERELLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1449 37TH ST, BROOKLYN, NY 11218-4380
(917) 474-3991
Mailing address
1449 37TH ST, BROOKLYN, NY 11218-4380
(917) 474-3991
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
23-265229
MD
Other
Enumeration date
11/06/2014
Last updated
03/10/2025
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