Individual
WILLIAM SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
215 DEER RUN DR, PRATTVILLE, AL 36067-3835
(334) 363-3359
(334) 625-1853
Mailing address
2751 LEGENDS PARKWAY, PMB 102, PRATTVILLE, AL 36066
(334) 363-3359
(334) 625-1853
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-162409
AL
Other
Enumeration date
04/01/2021
Last updated
03/03/2022
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