Individual
JENNIFER NICOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
780 LYNNHAVEN PKWY STE 400, VIRGINIA BEACH, VA 23452-7332
(877) 418-2978
Mailing address
320 MEADOW CREEK DR, CHESAPEAKE, VA 23323-3110
(757) 770-2122
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
VA
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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