Angelique Smith

NPI #1760012249 in Valdosta, Georgia

Provider Information

NPI Number: 1760012249
Entity Type: Individual
Name: Angelique Smith
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Jan 23, 2020
Last Updated: Jan 23, 2020

Practice Location

Address: 3121 N OAK STREET EXT
City: Valdosta
State: Georgia
ZIP Code: 31602-1099
Phone: (800) 832-9419

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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