Individual
MS. KEOSHA TASHAE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6780 MCCLELLAND DR, BATON ROUGE, LA 70811-6219
(225) 228-9266
Mailing address
6780 MCCLELLAND DR, BATON ROUGE, LA 70811-6219
(225) 228-9266
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
LA
Other
Enumeration date
03/11/2026
Last updated
03/11/2026
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