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Elena Smith

Behavior Technician in Ypsilanti, MI. Individual provider (NPI-1).

NPI number1043034945
StatusActive
Last updated in NPPESNov 8, 2024

Details

NPI
1043034945
Entity type
Individual (NPI-1)
Name
Elena Smith
Sex
Female
Sole proprietor
No
Enumeration date
Nov 8, 2024
Certification date
Nov 8, 2024
Last updated
Nov 8, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

2111 Golfside Rd
Ypsilanti, MI 48197-1145

Phone 248-846-8700

Mailing address

2111 Golfside Rd
Ypsilanti, MI 48197-1145

Phone 248-846-8700

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