Individual
ALEXANDER JOSEPH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
115 ROTTINGHAM CT STE A, EDWARDSVILLE, IL 62025-3677
(866) 522-2467
Mailing address
5220 6TH STREET FRONTAGE RD E STE 1700, SPRINGFIELD, IL 62703-5771
(217) 525-8332
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-39795
IL
Other
Enumeration date
03/04/2020
Last updated
03/04/2020
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