Individual
DESTINY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2701 S MERIDIAN RD, WABASH, IN 46992-9160
(260) 290-2874
Mailing address
2701 S MERIDIAN RD, WABASH, IN 46992-9160
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
IN
Other
Enumeration date
04/29/2025
Last updated
04/29/2025
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