Individual
RAEANNA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3019 OSAGE ST, FORT SMITH, AR 72901-8220
(479) 312-2773
Mailing address
3019 OSAGE ST, FORT SMITH, AR 72901-8220
(479) 312-2773
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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