Individual
JLON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3630 GEORGE WASHINGTON MEM HWY STE D, YORKTOWN, VA 23693-3350
(757) 586-5252
(757) 586-5055
Mailing address
3630 GEORGE WASHINGTON MEM HWY STE D, YORKTOWN, VA 23693-3350
(757) 586-5252
(757) 586-5055
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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