Individual
GYONNA NAVI SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1275 B ST BLDG 2, MERCED, CA 95341-6345
(209) 381-6800
Mailing address
850 TOWBIN AVE, LAKEWOOD, NJ 08701-5928
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/11/2023
Last updated
11/28/2023
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