Individual
JEFFERY SCOTT SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
3022 S PARK AVE STE B, HERRIN, IL 62948-3721
(217) 525-8332
Mailing address
5220 6TH STREET FRONTAGE RD E STE 1700, SPRINGFIELD, IL 62703-5771
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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