Individual
JANEA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1504 CONGRESS LN, FORD HEIGHTS, IL 60411-3039
(708) 673-9337
Mailing address
1504 CONGRESS LN, FORD HEIGHTS, IL 60411-3039
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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