Individual
JESSE NOAH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8430 UNIVERSITY EXEC PARK DR STE 685, CHARLOTTE, NC 28262-1337
(980) 265-3778
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-79625
NC
106S00000X
Behavior Technician
—
NC
Other
Enumeration date
12/08/2020
Last updated
04/14/2025
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