Individual
JINNIFER SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4532 NORMAN RD, PORTSMOUTH, VA 23703-4925
(757) 651-2655
(757) 606-3131
Mailing address
4532 NORMAN RD, PORTSMOUTH, VA 23703-4925
(757) 651-2655
(757) 606-3131
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0-13-5529
VA
Other
Enumeration date
08/12/2015
Last updated
08/12/2015
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