NPI 1083581631

Kevin Samora Smith

Practitioner Behavior Technician Idaho Falls, ID

Practice location

Address: 2222 Teton Plz STE 2, Idaho Falls, ID 83404-6485
Phone: (208) 522-4026
Fax: (208) 522-4138

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Idaho →

Registry record

NPI: 1083581631
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Oct 2025
Record last updated: 20 Oct 2025

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.