Individual
JENTRE FAITH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6214 24TH AVE, BROOKLYN, NY 11204-3319
(866) 222-1111
Mailing address
14478 ROAD T, KISMET, KS 67859-5999
(620) 417-5756
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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