Isaac Kelly Smith

NPI #1043716723 in Gaylord, Michigan

Provider Information

NPI Number: 1043716723
Entity Type: Individual
Name: Isaac Kelly Smith
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 2, 2018
Last Updated: Apr 2, 2018

Practice Location

Address: 895 GREENWOOD LN
City: Gaylord
State: Michigan
ZIP Code: 49735-8988
Phone: (989) 350-1193

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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