Individual
HOLLY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
605 S VAN BUREN ST, NEWTON, IL 62448-1651
(618) 783-7529
Mailing address
605 S VAN BUREN ST, NEWTON, IL 62448-1651
(618) 783-7529
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-321375
IL
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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