Itetra Smith

Behavior Technician · Santa Rosa Beach, FL

Individual Active NPI

NPI number 1386097749

Practice location

67 Hiker St
Santa Rosa Beach, FL 32459
Phone
(855) 832-6727
Fax
(772) 675-9100

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NPI record

NPI
1386097749
Entity type
Individual (Type 1)
Enumeration date
July 20, 2016
Last updated
May 14, 2019
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

Mailing address

7108 S Kanner Hwy
Stuart, FL 34997-7462

Other practice locations (3)

  • 500 Fairway Dr Ste 102, Deerfield Beach, FL 33441 · (888) 880-9270
  • 500 Fairway Dr Ste 102, Deerfield Beach, FL 33441 · (888) 880-9270
  • 415 North Street, Jonestown, MS 38639 · (662) 788-1431

About Itetra Smith

Itetra Smith is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 67 Hiker St, Santa Rosa Beach, FL 32459. The NPI number 1386097749 was assigned on July 20, 2016 and the record was last updated on May 14, 2019.

Frequently asked questions

What is the NPI number of Itetra Smith?

The NPI number is 1386097749.

What is the phone number of Itetra Smith?

The phone number listed for the practice location is (855) 832-6727.

Where is Itetra Smith located?

67 Hiker St, Santa Rosa Beach, FL 32459.

What is the taxonomy code for Itetra Smith?

The primary taxonomy code is 106S00000X – Behavior Technician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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