Kevin Samora Smith
NPI #1083581631 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1083581631
- Entity Type
- Individual
- Name
- Kevin Samora Smith
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Oct 20, 2025
- Last Updated
- Oct 20, 2025
Practice Location
- Address
- 2222 TETON PLZ STE 2
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-6485
- Phone
- (208) 522-4026
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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