Olivia L Smith, BCBA

NPI #1942666045 in Mequon, Wisconsin

Provider Information

NPI Number: 1942666045
Entity Type: Individual
Name: Olivia L Smith, BCBA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Credential: BCBA
Enumeration Date: Jan 6, 2016
Last Updated: Jan 9, 2018

Practice Location

Address: 12075 CORPORATE PKWY STE 110
City: Mequon
State: Wisconsin
ZIP Code: 53092-2664
Phone: (877) 486-4140

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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