Individual
DERK SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
1049 E NEWELL ST, WHITE CLOUD, MI 49349-8795
(231) 689-7330
Mailing address
1049 E NEWELL ST, WHITE CLOUD, MI 49349-8795
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401002358
MI
Other
Enumeration date
07/15/2019
Last updated
11/25/2025
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