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Katherine Smith

Behavior Technician in Elk Grove, CA. Individual provider (NPI-1).

NPI number1194456301
StatusActive
Last updated in NPPESJun 19, 2022

Details

NPI
1194456301
Entity type
Individual (NPI-1)
Name
Katherine Smith
Sex
Female
Sole proprietor
No
Enumeration date
Jun 19, 2022
Certification date
Jun 14, 2022
Last updated
Jun 19, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

9701 Dino Dr Ste 170
Elk Grove, CA 95624-4042

Phone 916-892-0013

Mailing address

5850 Granite Pkwy Ste 600
Plano, TX 75024-6753

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