Jim Smidt

NPI #1720620750 in Post Falls, Idaho

Provider Information

NPI Number: 1720620750
Entity Type: Individual
Name: Jim Smidt
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Oct 10, 2019
Last Updated: Oct 22, 2021

Practice Location

Address: 820 N WILLIAM ST
City: Post Falls
State: Idaho
ZIP Code: 83854-5123
Phone: (208) 755-0660

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X
Behavior Technician	106S00000X	Primary

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