Individual
MS. ANTOINETTE MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA,AA
Contact information
Practice address
1709 MOON ST NE, ALBUQUERQUE, NM 87112-3935
(505) 271-3029
Mailing address
1299 ZEPOL RD, UNIT 80, SANTA FE, NM 87507-3090
(505) 920-6999
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/25/2016
Last updated
12/01/2025
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