Individual
BRETT SMART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5 NATALIE WAY, PLYMOUTH, MA 02360-3557
(508) 858-5991
Mailing address
300 45TH ST S, FARGO, ND 58103-1189
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-353769
MA
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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