Individual
MS. JENNIFER SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 VETERANS MEMORIAL DRIVE, KITTY HAWK, NC 27949-1317
(252) 376-3695
Mailing address
2128 79TH ST # 1D, EAST ELMHURST, NY 11370-1317
(917) 418-4264
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/22/2019
Last updated
01/08/2024
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