Individual
ASIA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2475 W MONROE ST, SPRINGFIELD, IL 62704-1439
(217) 685-2549
Mailing address
3195 BETH BLVD APT 310, DECATUR, IL 62526-2997
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/22/2025
Last updated
09/22/2025
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