NPI 1073088308
Jermain M Smith, BEHAVIORANALYST
Practice location
- Address
- 300 W Swanson Ave, Wasilla, AK 99654-6844
- Phone
- (907) 357-0891
- Mailing address
- 2088 S Paddock Dr, Wasilla, AK 99654-8467
Registered specialties (2)
Behavior Analyst
Primary
Behavior Technician
Registry record
- NPI
- 1073088308
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 13 Oct 2018
- Record last updated
- 19 Apr 2021
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.