Individual
IONIE D SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10833 174TH ST, JAMAICA, NY 11433-3017
(347) 471-5730
Mailing address
10833 174TH ST, JAMAICA, NY 11433-3017
(347) 471-5730
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
03/06/2021
Last updated
03/09/2021
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