NPI 1154786333

Cierra Smith, BCBA

Practitioner Behavior Analyst Green Bay, WI

Practice location

Address: 1575 Allouez Ave, Green Bay, WI 54311-5639
Phone: (920) 857-9041
Fax: (950) 857-3366
Mailing address: 1575 Allouez Ave Caravel Autism Health, Green Bay, WI 54311-5639

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 016-140 (WI)

Other Behavior Analyst providers in Wisconsin →

Registry record

NPI: 1154786333
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Dec 2015
Record last updated: 2 Feb 2016

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.