Diana Smith

NPI #1245936749 in Granite City, Illinois

Provider Information

NPI Number: 1245936749
Entity Type: Individual
Name: Diana Smith
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 6, 2023
Last Updated: Feb 6, 2023

Practice Location

Address: 2815 PERSHING BLVD
City: Granite City
State: Illinois
ZIP Code: 62040-5952
Phone: (618) 600-4441

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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