Individual
JADIA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
121 SMITH DR, EAST HARTFORD, CT 06118-1548
(646) 242-9975
Mailing address
121 SMITH DR, EAST HARTFORD, CT 06118-1548
(646) 242-9975
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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