Individual
JESSICA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1233 W ADAMS ST, CHICAGO, IL 60607-2801
(312) 243-8487
Mailing address
1739 N ELSTON AVE, CHICAGO, IL 60642-1544
(309) 714-8330
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB786156
IL
106S00000X
Behavior Technician
RBT-22-216144
IL
Other
Enumeration date
05/18/2022
Last updated
12/29/2025
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