Individual
KATRICE SMOOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5701 W TALAVI BLVD, GLENDALE, AZ 85306-1886
(855) 223-7123
Mailing address
PO BOX 740780, ATLANTA, GA 30374-0780
(855) 223-7123
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/28/2024
Last updated
03/09/2026
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