Melissa Smith

NPI #1497620058 in Peoria, Illinois

Provider Information

NPI Number: 1497620058
Entity Type: Individual
Name: Melissa Smith
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 6, 2025
Last Updated: Oct 6, 2025

Practice Location

Address: 4921 N GLEN PARK PLACE RD
City: Peoria
State: Illinois
ZIP Code: 61614-4676
Phone: (866) 727-8274

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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