Individual
ISAAC SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3048 E BASELINE RD # 101&103, MESA, AZ 85204-7286
(520) 231-7380
Mailing address
3048 E BASELINE RD # 101&103, MESA, AZ 85204-7286
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-392326
AZ
Other
Enumeration date
03/25/2026
Last updated
03/25/2026
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