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Individual
MS. SHAWNDRIKA STEVENSON SMITH
Active
Individual
MS. SHAWNDRIKA STEVENSON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
18-70349
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023918100
—
FL
05
—
ATN702346
—
FL
Enumeration date
02/24/2018
Last updated
01/04/2019
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