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1689033656
TREVA E SMITH
FORT WAYNE, IN
NPI
1689033656
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
Additional Taxonomies
103K00000X Behavior Analyst
(Licence: IN 11520991)
Enumeration Date
2016-02-18
Last Update Date
2023-09-04
Business Address
TREVA E SMITH BCBA
12938 COLDWATER RD
FORT WAYNE, IN 46845-9517
Phone number: 317-815-5501
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Mailing Address
TREVA E SMITH BCBA
101 E COOPER CT
ELLETTSVILLE, IN 47429-1616
Phone number: 812-319-7649
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