Kylah Archelle Smith

NPI #1508627522 in Longview, Washington

Provider Information

NPI Number: 1508627522
Entity Type: Individual
Name: Kylah Archelle Smith
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 17, 2024
Last Updated: Jan 17, 2024

Practice Location

Address: 236 30TH AVE UNIT B101
City: Longview
State: Washington
ZIP Code: 98632-1777
Phone: (360) 827-2111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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