Cole Logan Smith

NPI #1144794132 in Winnemucca, Nevada

Provider Information

NPI Number: 1144794132
Entity Type: Individual
Name: Cole Logan Smith
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jan 14, 2019
Last Updated: Jan 14, 2019

Practice Location

Address: 6235 DE ORO CT
City: Winnemucca
State: Nevada
ZIP Code: 89445-8316
Phone: (775) 304-1689

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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