Individual
MELISSA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5616 MARK TWAIN LN, PUEBLO, CO 81008-9703
(801) 935-4171
Mailing address
4320 S 700 E, APT. 5, SALT LAKE CITY, UT 84107-3071
(801) 243-0105
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/06/2015
Last updated
02/28/2024
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