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Individual
QUALEHSIA SMITH
Active
Individual
QUALEHSIA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT/ MENTAL HEALTH
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
809175
IL
Other
Enumeration date
01/25/2021
Last updated
10/25/2023
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