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NPI Code Detail

MEDICARE: ABIGAIL BOWMAN SMITH

MEDICARE:   ABIGAIL BOWMAN SMITH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst10001007MA

General Provider Information

NPI Number : 1053190645
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABIGAIL BOWMAN SMITH
Provider Business Mailing Address
First Line : 350 FAIRWAY DR STE 101
Second Line :
City : DEERFIELD BEACH
State : FL
Zip : 33441-1834
Country : US
Telephone Number : 877-418-2978
Fax Number : 866-500-2186
Provider Business Practice Location Address
First Line : 1158 SPRINGFIELD ST
Second Line :
City : FEEDING HILLS
State : MA
Zip : 01030-2185
Country : US
Telephone Number : 617-383-1019
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2023
Last Update Date : 11/26/2025

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Directions to “ ABIGAIL BOWMAN SMITH ” Practice Location

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