Individual
ALLYSA MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7815 HARNEY ST, OMAHA, NE 68114-4511
(402) 216-1782
Mailing address
7815 HARNEY ST, OMAHA, NE 68114-4511
(402) 991-4673
(402) 596-1768
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NE
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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