NPI 1063220465

Ida O Smith

Practitioner Behavior Technician Wilmington, DE

Practice location

Address: 4023 Kennett Pike # 988, Wilmington, DE 19807-2018
Phone: (484) 577-9928
Mailing address: 330 Barbara Dr, Clarksboro, NJ 08020-1508

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Delaware →

Registry record

NPI: 1063220465
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Dec 2024
Record last updated: 18 Dec 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.