Individual
MATTHEW LEE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5312 RIO BRAVO DR STE 10, SANTA TERESA, NM 88008-9210
(575) 915-1338
(575) 915-1819
Mailing address
PO BOX 2523, SUNLAND PARK, NM 88063-2523
(575) 915-1338
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/05/2025
Last updated
05/28/2025
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