Organization
LAILA WAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMAR SMITH BCBA (CEO)
(267) 312-3472
Entity
Organization
Contact information
Practice address
502 W CLAPIER ST, PHILADELPHIA, PA 19144-4801
(267) 312-3472
Mailing address
502 W CLAPIER ST, PHILADELPHIA, PA 19144-4801
(267) 312-3472
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11417289
PA
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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