Individual
LANESSA LASHEA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
907 BRITWOOD DR SW, DECATUR, AL 35601-2940
(256) 642-6654
Mailing address
907 BRITWOOD DR SW, DECATUR, AL 35601-2940
(256) 642-6654
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-348592
OH
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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