Individual
KRYSTINA JANAE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4410 CLAIBORNE SQ E STE 233, HAMPTON, VA 23666-2072
(757) 788-8033
Mailing address
200 WELLINGTON CIR, SMITHFIELD, VA 23430-6283
(757) 371-3384
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-144837
VA
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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