Individual
AIYANA NICHELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31170 TEMECULA PKWY STE 202, TEMECULA, CA 92592-2915
(951) 699-8640
Mailing address
5850 GRANITE PKWY STE 600, PLANO, TX 75024-6753
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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