Jacqueline Lee Smith
Behavior Technician in Dunkirk, MD. Individual provider (NPI-1).
NPI number1053192575
StatusActive
Last updated in NPPESOct 13, 2023
Details
- NPI
- 1053192575
- Entity type
- Individual (NPI-1)
- Name
- Jacqueline Lee Smith
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 10, 2023
- Certification date
- Oct 10, 2023
- Last updated
- Oct 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
10020 Southern Maryland BlvdDunkirk, MD 20754-3031
Phone 443-295-3015
Mailing address
1921 Wooded TrceOwings, MD 20736-9348
Phone 410-739-0025
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