Jaquenna Lashay Smith, RBT
Behavior Technician in Macon, GA. Individual provider (NPI-1).
NPI number1982201059
StatusActive
Last updated in NPPESOct 2, 2020
Details
- NPI
- 1982201059
- Entity type
- Individual (NPI-1)
- Name
- Jaquenna Lashay Smith
- Credential
- RBT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 2, 2020
- Certification date
- Oct 2, 2020
- Last updated
- Oct 2, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-19-108626 | GA | Yes |
Practice location
4931 Riverside Dr Ste 400aMacon, GA 31210-1195
Phone 478-219-7626 · Fax 317-520-8200
Mailing address
3500 Depauw Blvd Ste 3070Indianapolis, IN 46268-6135
Phone 855-324-0885 · Fax 317-520-8200
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All 202 Behavior Technician providers in Macon · All 5,121 providers in Macon
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