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Jasmine Ayanna Smith

Behavior Technician in Mount Pleasant, MI. Individual provider (NPI-1).

NPI number1760105902
StatusActive
Last updated in NPPESSep 22, 2022

Details

NPI
1760105902
Entity type
Individual (NPI-1)
Name
Jasmine Ayanna Smith
Sex
Female
Sole proprietor
No
Enumeration date
Sep 22, 2022
Certification date
Sep 19, 2022
Last updated
Sep 22, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician–MIYes

Practice location

1524 E Broadway St
Mount Pleasant, MI 48858-2933

Phone 989-854-8334

Mailing address

1524 E Broadway St
Mount Pleasant, MI 48858-2933

Phone 989-854-8334

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