Individual
MR. TYLER ALAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., BCBA, LBA
Contact information
Practice address
45 SOCKANOSSET CROSS RD # 100, CRANSTON, RI 02920-5529
(401) 409-2608
Mailing address
23 BENEFIT ST APT 19, WARWICK, RI 02886-6715
(860) 481-0793
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA00267
RI
Other
Enumeration date
02/23/2024
Last updated
02/23/2024
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