Nyshea Bouknight-Smith
Behavior Technician in Baltimore, MD. Individual provider (NPI-1).
NPI number1619705142
StatusActive
Last updated in NPPESJul 25, 2024
Details
- NPI
- 1619705142
- Entity type
- Individual (NPI-1)
- Name
- Nyshea Bouknight-Smith
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 25, 2024
- Certification date
- Jul 25, 2024
- Last updated
- Jul 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
400 E Pratt St Fl 8Baltimore, MD 21202-3180
Phone 833-599-2560
Mailing address
850 Towbin AveLakewood, NJ 08701-5928
Phone 833-599-2560
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