Whalio Doctors

NPI 1073088308

Jermain M Smith, BEHAVIORANALYST

Practitioner Behavior Analyst Wasilla, AK

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
Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 1-21-49303
Behavior Technician
Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence RBT-18-67793

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.