Smith, Jermain M
Smith, Jermain M is an individual health care provider with primary practice located at 300 W Swanson Ave , Wasilla AK 99654-6844. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is his primary health care specialty. Smith, Jermain M can be contacted via phone (907) 357-0891.Contact Information
Primary practice address
300 W Swanson Ave
Wasilla AK 99654-6844
Phone: (907) 357-0891
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | RBT-18-67793 | |
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-21-49303 |
Profile Details
| NPI number | 1073088308 |
|---|---|
| LBN Legal business name | Smith, Jermain M |
| Credentials | BEHAVIOR ANALYST |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2018 |
| Last updated | Apr 19th, 2021 - about 5 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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