Individual
ADELINE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
16414 SOUTHPARK DR, WESTFIELD, IN 46074-8396
(317) 815-5501
Mailing address
25 SOUTHDOWNS DR, KOKOMO, IN 46902-5116
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-343125
IN
Other
Enumeration date
01/22/2025
Last updated
01/22/2025
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