Ian Smith
Behavior Technician in Ann Arbor, MI. Individual provider (NPI-1).
NPI number1982116828
StatusActive
Last updated in NPPESNov 1, 2017
Details
- NPI
- 1982116828
- Entity type
- Individual (NPI-1)
- Name
- Ian Smith
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 1, 2017
- Last updated
- Nov 1, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
4201 Varsity DrAnn Arbor, MI 48108-5005
Phone 734-926-0740 · Fax 734-926-0740
Mailing address
2105 Harmon StYpsilanti, MI 48198-8122
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