Jacqueline Smith

NPI #1417735069 in Swansea, Illinois

Provider Information

NPI Number: 1417735069
Entity Type: Individual
Name: Jacqueline Smith
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 15, 2023
Last Updated: Sep 15, 2023

Practice Location

Address: 1 BRONZE POINTE BLVD STE 2A
City: Swansea
State: Illinois
ZIP Code: 62226-1045
Phone: (833) 587-1784

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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