Khadijah Renee Smith
Behavior Technician in Houston, TX. Individual provider (NPI-1).
NPI number1669972253
StatusActive
Last updated in NPPESFeb 20, 2018
Details
- NPI
- 1669972253
- Entity type
- Individual (NPI-1)
- Name
- Khadijah Renee Smith
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 20, 2018
- Last updated
- Feb 20, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | 1848676 | TX | Yes |
Practice location
9449 Briar Forest Dr Apt 2705Houston, TX 77063-1044
Phone 662-739-1988
Mailing address
9449 Briar Forest Dr Apt 2705Houston, TX 77063-1044
Phone 662-739-1988
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