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Kayla Smith

Early Intervention Provider Agency in Bronx, NY. Individual provider (NPI-1).

NPI number1497471908
StatusActive
Last updated in NPPESOct 17, 2022

Details

NPI
1497471908
Entity type
Individual (NPI-1)
Name
Kayla Smith
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 17, 2022
Certification date
Oct 17, 2022
Last updated
Oct 17, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
252Y00000X Early Intervention Provider Agency–NYYes

Practice location

1342 Saint Lawrence Ave Apt 1d
Bronx, NY 10472-1968

Phone 216-200-2964

Mailing address

1342 Saint Lawrence Ave Apt 1d
Bronx, NY 10472-1968

Phone 216-200-2964

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