Tara Smith

NPI #1487170585 in Mount Rainier, Maryland

Provider Information

NPI Number: 1487170585
Entity Type: Individual
Name: Tara Smith
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Aug 21, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 4316 28TH PL APT 1
City: Mount Rainier
State: Maryland
ZIP Code: 20712-1533
Phone: (202) 400-9666

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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