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Individual

MICHAEL DONOVAN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RBT

Contact information

Practice address
31 DANIEL DR, CROSSVILLE, TN 38555-6030
(931) 210-8552
Mailing address
821 SUNRIDGE POINT DR, SEFFNER, FL 33584-5930
(931) 210-8552

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-350673
TN

Other

Enumeration date
01/06/2025
Last updated
01/06/2025
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