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Brett Smith

Behavior Technician in San Diego, CA. Individual provider (NPI-1).

NPI number1982110110
StatusActive
Last updated in NPPESDec 26, 2017

Details

NPI
1982110110
Entity type
Individual (NPI-1)
Name
Brett Smith
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 26, 2017
Last updated
Dec 26, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

3978 Sorrento Valley Blvd Ste 100
San Diego, CA 92121-1436

Phone 858-353-7723

Mailing address

3978 Sorrento Valley Blvd Ste 100
San Diego, CA 92121-1436

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