Individual
DESHON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6400 ARLINGTON BLVD STE 670, FALLS CHURCH, VA 22042-2336
(703) 992-6938
Mailing address
9111 FLEMMING PL, WALDORF, MD 20603
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-386688
VA
Other
Enumeration date
10/28/2024
Last updated
11/01/2024
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