Individual
AMBER INEZ SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
835 FOUNTAIN ST, WOODBRIDGE, CT 06525-2603
(860) 250-5849
Mailing address
200 FOUNTAIN ST APT 403, NEW HAVEN, CT 06515-1963
(475) 201-7008
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
CT
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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