| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ASHLEY CHYANNE SMITH | 1366030884 | 2021-01-10 |
Ashley Chyanne Smith is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1366030884. Registration indicates Ashley Chyanne Smith is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Behavioral Analyst (Behavioral Health & Social Service Providers, Behavioral Analyst) (Behavioral Analyst, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Behavioral Analyst, Behavioral Health & Social Service Providers)
| Entity Type | Individual |
| Provider Name | Ashley Chyanne Smith |
| Practice Office Address | 225 BROADHOLLOW RD STE 402 MELVILLE, NY US |
| Practice Office Telephone | 6313857780 |
| Practice Office Fax | 6313857795 |
| Mailing Address | 1891 FARGO ST NORTH BALDWIN, NY 115102404 US |
| Business Telephone | 5167700942 |
| Code | Practice | License No State |
|---|---|---|
| 103K00000X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Behavioral Analyst Behavioral Health & Social Service Providers Behavioral Analyst Behavioral Analyst Behavioral Health/Substance Abuse/Psychiatry Behavioral Analyst Behavioral Health & Social Service Providers |