Menneh Gussey Smith
Behavior Technician in Champlin, MN. Individual provider (NPI-1).
NPI number1891591749
StatusActive
Last updated in NPPESFeb 21, 2025
Details
- NPI
- 1891591749
- Entity type
- Individual (NPI-1)
- Name
- Menneh Gussey Smith
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 21, 2025
- Certification date
- Feb 21, 2025
- Last updated
- Feb 21, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
7133 116th Pl NChamplin, MN 55316-2879
Phone 612-251-2366
Mailing address
7133 116th Pl NChamplin, MN 55316-2879
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All 17 Behavior Technician providers in Champlin · All 341 providers in Champlin
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