Organization
FORESIDE BEHAVIOR ASSOCIATES
Active
Organization
FORESIDE BEHAVIOR ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN JARMUZ-SMITH PSYD, BCBA-D (CLINICAL DIRECTOR)
(207) 613-7324
Entity
Organization
Contact information
Practice address
1321 WASHINGTON AVE STE 302, PORTLAND, ME 04103-3675
(207) 613-7324
(207) 613-7333
Mailing address
1321 WASHINGTON AVE STE 302, PORTLAND, ME 04103-3675
(207) 613-7324
(207) 613-7333
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164824082
NPI
—
Enumeration date
10/22/2015
Last updated
11/23/2022
Update your record
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