Brooke Miranda Smith

NPI #1851030027 in Peoria, Illinois

Provider Information

NPI Number: 1851030027
Entity Type: Individual
Name: Brooke Miranda Smith
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 3, 2022
Last Updated: Jun 3, 2022

Practice Location

Address: 507 E ARMSTRONG AVE
City: Peoria
State: Illinois
ZIP Code: 61603-3201
Phone: (309) 686-1177

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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