Raven Smith

NPI #1043043490 in Oak Lawn, Illinois

Provider Information

NPI Number: 1043043490
Entity Type: Individual
Name: Raven Smith
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 21, 2024
Last Updated: Aug 21, 2024

Practice Location

Address: 9115 S CICERO AVE STE 200
City: Oak Lawn
State: Illinois
ZIP Code: 60453-1771
Phone: (773) 449-0859

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary
Home Health Aide	374U00000X

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