Trevor D Smith
Behavior Technician in Midvale, UT. Individual provider (NPI-1).
NPI number1346854627
StatusActive
Last updated in NPPESSep 3, 2020
Details
- NPI
- 1346854627
- Entity type
- Individual (NPI-1)
- Name
- Mr. Trevor D Smith
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 3, 2020
- Certification date
- Sep 3, 2020
- Last updated
- Sep 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
7434 S State StMidvale, UT 84047-2014
Phone 801-456-9955
Mailing address
7434 S State StMidvale, UT 84047-2014
Phone 801-456-9955
Other practice locations
7434 S State St
Midvale, UT 84047-2014
Midvale, UT 84047-2014
Phone 801-456-9955
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All 72 Behavior Technician providers in Midvale · All 896 providers in Midvale
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