Individual
JALEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
190 CHURCH AVE, WARWICK, RI 02889-3270
(401) 935-2764
Mailing address
190 CHURCH AVE, WARWICK, RI 02889-3270
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/28/2023
Last updated
07/28/2023
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