Jacqueline Rae Smith, RBT, QMHPC is a
Behavior Technician based in Virginia Beach, Virginia. Jacqueline Rae Smith is licensed to practice in Virginia (license number RBT21152347) and her current practice location is
1741 Hiawatha Dr, Virginia Beach, Virginia. She can be reached at her office (for appointments etc.) via phone at
(757) 266-3430.
NPI number for Jacqueline Rae Smith is 1548924996 and her current mailing address is 1741 Hiawatha Dr, Virginia Beach, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548924996.
Healthcare Provider's Profile
Full Name | Jacqueline Rae Smith |
---|
Gender | Female |
---|
Speciality | Behavior Technician |
---|
Location | 1741 Hiawatha Dr, Virginia Beach, Virginia |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1548924996
- Provider Enumeration Date: 10/22/2021
- Last Update Date: 10/22/2021
Medical Identifiers
Medical identifiers for Jacqueline Rae Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548924996 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 0733007985 (Virginia) | Secondary |
106S00000X | Behavior Technician | RBT21152347 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacqueline Rae Smith is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jacqueline Rae Smith, RBT, QMHPC 1741 Hiawatha Dr, Virginia Beach, VA 23464-8448 Ph: (757) 266-3430 | Jacqueline Rae Smith, RBT, QMHPC 1741 Hiawatha Dr, Virginia Beach, VA 23464-8448 Ph: (757) 266-3430 |
Reviews and Comments