NPI 1063256881

Ashley Elizabeth Smith

Practitioner Behavior Technician Andalusia, AL

Practice location

Address: 109 Oneal CT, Andalusia, AL 36420-3803
Phone: (334) 379-1043

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence BACB1094357 (AL)

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Registry record

NPI: 1063256881
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Jun 2024
Record last updated: 25 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.