Carson Smith

NPI #1780310144 in Nampa, Idaho

Provider Information

NPI Number: 1780310144
Entity Type: Individual
Name: Carson Smith
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 28, 2022
Last Updated: Jul 28, 2022

Practice Location

Address: 220 W GEORGIA AVE
City: Nampa
State: Idaho
ZIP Code: 83686-2835
Phone: (425) 368-3262

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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