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Individual

NORMAN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RBT

Contact information

Practice address
4440 VIKING DR STE 400, BOSSIER CITY, LA 71111-7511
(318) 245-4113
(318) 588-8909
Mailing address
PO BOX 1823, WEST MONROE, LA 71294-1823
(318) 588-8908
(318) 588-5809

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
10/14/2019
Last updated
10/14/2019
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