Jasee S Smith

NPI #1861005571 in Moses Lake, Washington

Provider Information

NPI Number: 1861005571
Entity Type: Individual
Name: Jasee S Smith
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 24, 2020
Last Updated: Aug 24, 2020

Practice Location

Address: 615 S DIVISION ST STE A
City: Moses Lake
State: Washington
ZIP Code: 98837-3800
Phone: (509) 764-6644

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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