Individual
CHRISTINA CHENELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
403 SEWARD SQ SE, WASHINGTON, DC 20003-6104
(443) 690-5857
Mailing address
16994 POINT PLEASANT LN, DUMFRIES, VA 22026-3248
(571) 471-0636
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-128062
VA
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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