Individual
SHARITA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12760 W 87TH STREET PKWY STE 100, LENEXA, KS 66215-2878
(913) 603-5671
Mailing address
12760 W 87TH STREET PKWY STE 100, LENEXA, KS 66215-2878
(913) 603-5671
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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