Mary Smith
Behavior Technician in Clovis, CA. Individual provider (NPI-1).
NPI number1629536628
StatusActive
Last updated in NPPESMar 8, 2019
Details
- NPI
- 1629536628
- Entity type
- Individual (NPI-1)
- Name
- Mary Smith
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 8, 2019
- Last updated
- Mar 8, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
20 N Dewitt AveClovis, CA 93612-0311
Phone 559-575-8172
Mailing address
20 N Dewitt AveClovis, CA 93612-0311
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All 324 Behavior Technician providers in Clovis · All 2,408 providers in Clovis
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