Individual
HEATHER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1984 ISAAC NEWTON SQ W STE 204, RESTON, VA 20190-5040
(434) 610-7087
(434) 266-0583
Mailing address
1949 THOMSON DR, LYNCHBURG, VA 24501-1030
(143) 466-0069
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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