Individual
DEAVEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2407 PLANTATION CENTER DR STE 100, MATTHEWS, NC 28105-5418
(704) 448-9819
Mailing address
2407 PLANTATION CENTER DR STE 100, MATTHEWS, NC 28105-5418
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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