Individual
JAMES THOMAS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
681 FALMOUTH RD STE C11, MASHPEE, MA 02649-6310
(508) 419-4320
Mailing address
27 SHORE DR, FORESTDALE, MA 02644-1915
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/24/2018
Last updated
10/24/2018
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