Individual
JORDAN CASSIDY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32100 TELEGRAPH RD, BINGHAM FARMS, MI 48025-2452
(248) 496-5890
Mailing address
32100 TELEGRAPH RD, BINGHAM FARMS, MI 48025-2452
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
02/09/2021
Last updated
02/09/2021
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