Individual
SHANIQUA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
259 CORNELIA ST, BENTON HARBOR, MI 49022-3031
(269) 873-3321
Mailing address
259 CORNELIA ST, BENTON HARBOR, MI 49022-3031
(269) 873-3321
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
251E00000X
Home Health Agency
—
MI
253Z00000X
In Home Supportive Care Agency
Primary
—
MI
385H00000X
Respite Care
—
MI
385HR2065X
Child Physical Disabilities Respite Care
—
MI
Other
Enumeration date
02/13/2023
Last updated
03/17/2026
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