Individual
KIMBERLEE C SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2056 VALLEY VISTA DRIVE, SPRING CREEK, NV 89815
(775) 293-2099
Mailing address
1900 DENNIS FLAT ROAD, DEETH, NV 89823
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0302406369
DRIVER'S LICENSE
NV
Enumeration date
04/06/2021
Last updated
04/06/2021
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