Jentre Faith Smith
Behavior Technician in Brooklyn, NY. Individual provider (NPI-1).
NPI number1194557421
StatusActive
Last updated in NPPESAug 15, 2024
Details
- NPI
- 1194557421
- Entity type
- Individual (NPI-1)
- Name
- Jentre Faith Smith
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 15, 2024
- Certification date
- Aug 15, 2024
- Last updated
- Aug 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
6214 24th AveBrooklyn, NY 11204-3319
Phone 866-222-1111
Mailing address
14478 Road TKismet, KS 67859-5999
Phone 620-417-5756
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