Individual
BENJAMIN JOHN JAMES SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8818 CENTRE PARK DR STE 200, COLUMBIA, MD 21045-2236
(301) 265-5617
Mailing address
1410 SPRING HILL RD STE 305, MC LEAN, VA 22102-3020
(301) 265-5617
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/15/2024
Last updated
11/19/2025
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