Individual
MEGAN ELIZABETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1925 N CAMINO REAL, CASA GRANDE, AZ 85122-1707
(520) 553-9549
Mailing address
1925 N CAMINO REAL, CASA GRANDE, AZ 85122-1707
(520) 553-9549
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-299509
OR
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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