Lillie Mae Smith
Behavior Technician in Broken Arrow, OK. Individual provider (NPI-1).
NPI number1982508206
StatusActive
Last updated in NPPESOct 8, 2026
Details
- NPI
- 1982508206
- Entity type
- Individual (NPI-1)
- Name
- Lillie Mae Smith
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 8, 2026
- Certification date
- Oct 8, 2026
- Last updated
- Oct 8, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
3501 W Kenosha StBroken Arrow, OK 74012-8948
Phone 918-782-7822
Mailing address
3501 W Kenosha StBroken Arrow, OK 74012-8948
Is something wrong?
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