Individual
SHELBY ANN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBS
Contact information
Practice address
1161 MAIN ST, JENKINS TOWNSHIP, PA 18640-1557
(570) 905-2803
Mailing address
1161 MAIN ST, JENKINS TOWNSHIP, PA 18640-1557
(570) 905-2803
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-36487
PA
Other
Enumeration date
04/08/2020
Last updated
04/08/2020
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