Individual
MICHAEL A. D. SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
4000 E CHARLESTON BLVD STE 108, LAS VEGAS, NV 89104-6659
(702) 475-7442
Mailing address
4000 E CHARLESTON BLVD STE 108, LAS VEGAS, NV 89104-6659
(702) 475-7442
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
08/15/2011
Last updated
08/18/2020
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