Shelby Lynn Smith

NPI #1467929257 in Port Jefferson Station, New York

Provider Information

NPI Number: 1467929257
Entity Type: Individual
Name: Shelby Lynn Smith
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 30, 2018
Last Updated: Oct 30, 2018

Practice Location

Address: 56 GAYMORE RD
City: Port Jefferson Station
State: New York
ZIP Code: 11776-1353
Phone: (631) 991-0543

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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