Organization
C O R E ABA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH CLOSIUS SMITH M.S., BCBA (BEHAVIOR ANALYST)
(860) 946-0362
Entity
Organization
Contact information
Practice address
24 STONY HILL RD FL 1, BETHEL, CT 06801-1166
(860) 946-0362
(203) 403-6686
Mailing address
PO BOX 1004, BETHEL, CT 06801-6004
(860) 946-0362
(203) 403-6686
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/30/2013
Last updated
11/10/2021
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