Individual
JAVANA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 HOLLOW LN STE 214, NORTH NEW HYDE PARK, NY 11042-1215
(516) 482-0100
Mailing address
5850 GRANITE PKWY STE 600, PLANO, TX 75024-6753
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
225200000X
Physical Therapy Assistant
Primary
014389
NY
Other
Enumeration date
12/08/2022
Last updated
05/06/2026
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