Michelle Smith
Behavior Technician in Newport Beach, CA. Individual provider (NPI-1).
NPI number1053202002
StatusActive
Last updated in NPPESJul 9, 2025
Details
- NPI
- 1053202002
- Entity type
- Individual (NPI-1)
- Name
- Michelle Smith
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 9, 2025
- Certification date
- Jun 24, 2025
- Last updated
- Jul 9, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
4930 Campus DrNewport Beach, CA 92660-2119
Phone 208-995-3615 · Fax 833-275-1309
Mailing address
Po Box 1519Meridian, ID 83680-1519
Phone 208-995-3615
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