| Doctor Name: | DANIELLE SMITH |
| NPI Number: | 1902114564 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | BCBA |
| License Number: | 1-08-4036 |
| Business Practice Address: | 153 Sherbert Rd Ashburnham, MA - 014301014 |
| Business Phone Number: | 9783377827 |
| Business Fax Number: | |
| Mailing Address: | 153 Sherbert Rd, ASHBURNHAM |
| State: | MA |
| Postal Code: | 014301014 |
| Phone Number: | 9783377827 |
| Fax Number: | |
| NPI Enumeration Date: | 09/16/2010 |
| NPI Last Update Date: | 09/16/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QS1000X |
| License Number: | 1-08-4036 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Student Health |
| Taxonomy Definition: | |