Individual
MEGAN DAVIS SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
5974 FASHION POINT DR, SOUTH OGDEN, UT 84403-4699
(801) 683-1062
Mailing address
613 COOK DR, LAYTON, UT 84041-3005
(385) 777-6271
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
123821802506
UT
106S00000X
Behavior Technician
RBT-18-53282
UT
Other
Enumeration date
01/12/2019
Last updated
07/20/2021
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