Smith, Deandra
Smith, Deandra is an sole proprietor health care provider with primary practice located at 111 Bulifants Blvd Ste B , Williamsburg VA 23188. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Smith, Deandra can be contacted via phone (757) 645-3860.Contact Information
Primary practice address
111 Bulifants Blvd Ste B
Williamsburg VA 23188
Phone: (757) 645-3860
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X | T62056286 | Virginia |
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | RBT-16-26722 | Virginia |
Profile Details
| NPI number | 1013326214 |
|---|---|
| LBN Legal business name | Smith, Deandra |
| Credentials | RBT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 13th, 2014 |
| Last updated | May 11th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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