Dontaevez Smith
Behavior Technician in Springfield, IL. Individual provider (NPI-1).
NPI number1629934278
StatusActive
Last updated in NPPESDec 29, 2025
Details
- NPI
- 1629934278
- Entity type
- Individual (NPI-1)
- Name
- Dontaevez Smith
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 29, 2025
- Certification date
- Dec 28, 2025
- Last updated
- Dec 29, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1208 W Jefferson St Apt FSpringfield, IL 62702-6411
Phone 217-953-5038
Mailing address
1208 W Jefferson St Apt FSpringfield, IL 62702-6411
Phone 217-953-5038
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