Individual
JAYLA A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3914 N 65TH ST, MILWAUKEE, WI 53216-2116
(414) 323-0674
Mailing address
3914 N 65TH ST, MILWAUKEE, WI 53216-2116
(414) 323-0674
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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