Individual
KEALANI SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12437 LEWIS ST STE 100, GARDEN GROVE, CA 92840-4651
(818) 404-3626
Mailing address
12437 LEWIS ST STE 100, GARDEN GROVE, CA 92840-4651
(818) 404-3626
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
CA
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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