Individual
MATTHEW JOSEPH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
162 WEST ST STE F, CROMWELL, CT 06416-4405
(860) 613-9930
(860) 613-9952
Mailing address
162 WEST ST STE F, CROMWELL, CT 06416-4405
(860) 613-9930
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/16/2022
Last updated
01/09/2023
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