Individual
JASMINE MONEZ SMITH-WILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6050 ERIN PARK DR, COLORADO SPRINGS, CO 80918-3488
(719) 465-3989
Mailing address
6050 ERIN PARK DR, COLORADO SPRINGS, CO 80918-3488
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1437321189
TRICARE (HEALTHNET)
CO
Enumeration date
12/15/2017
Last updated
01/27/2021
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