Individual
LEONARD DEVON SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
9602 THOR AVE, LOUISVILLE, KY 40229-1821
(502) 418-6978
Mailing address
9602 THOR AVE, LOUISVILLE, KY 40229-1821
(502) 418-6978
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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