Individual
LETASHA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
7939 W FOND DU LAC AVE APT 4, MILWAUKEE, WI 53218-2609
(414) 239-4225
Mailing address
7939 W FOND DU LAC AVE APT 4, MILWAUKEE, WI 53218-2609
(414) 239-4225
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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