Individual
EDEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
5300 KEMPSRIVER DR # 2025, VIRGINIA BEACH, VA 23464-5369
(917) 974-9300
Mailing address
5300 KEMPSRIVER DR # 2025, VIRGINIA BEACH, VA 23464-5369
(917) 974-9300
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/27/2026
Last updated
01/27/2026
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