Tyler Daniel Smith

NPI #1740845890 in Wasilla, Alaska

Provider Information

NPI Number: 1740845890
Entity Type: Individual
Name: Tyler Daniel Smith
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 3, 2019
Last Updated: May 3, 2019

Practice Location

Address: 300 W SWANSON AVE
City: Wasilla
State: Alaska
ZIP Code: 99654-6844
Phone: (907) 891-4727

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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