Individual
JASON D SMOLENSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
3412 BRIARCLIFF DR APT I, GREENVILLE, NC 27834-5073
(917) 538-2124
Mailing address
3412 BRIARCLIFF DR APT I, GREENVILLE, NC 27834-5073
(917) 538-2124
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/13/2019
Last updated
07/28/2021
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