Jeffrey Dale Smith

NPI #1356643191 in Wagoner, Oklahoma

Provider Information

NPI Number: 1356643191
Entity Type: Individual
Name: Jeffrey Dale Smith
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Nov 30, 2010
Last Updated: Nov 30, 2010

Practice Location

Address: 400 PARK CIR
City: Wagoner
State: Oklahoma
ZIP Code: 74467-3520
Phone: (918) 688-0716

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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