Individual
JALA LATRICE NICOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7236 S CENTRAL AVE, PHOENIX, AZ 85042-5425
(602) 240-3074
Mailing address
18899 N THOMPSON PEAK PKWY STE 100, SCOTTSDALE, AZ 85255-6335
(480) 999-6199
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/16/2021
Last updated
03/26/2026
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