Phylicia Smith

NPI #1285264945 in Berlin, Maryland

Provider Information

NPI Number: 1285264945
Entity Type: Individual
Name: Phylicia Smith
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 22, 2020
Last Updated: Jan 22, 2020

Practice Location

Address: 10514 RACETRACK RD STE C
City: Berlin
State: Maryland
ZIP Code: 21811-3241
Phone: (410) 973-2301

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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