| Jennifer Lynne Smith Phd | |
|
2107 New Hampshire St Lawrence KS 66046-3047 | |
| (479) 206-3131 | |
| (855) 860-1954 |
| Full Name | Jennifer Lynne Smith Phd |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2107 New Hampshire St, Lawrence, Kansas |
| Authorized Official Name and Position | Jennifer Lynne Smith (BEHAVIOR ANALYST-DOCTORAL) |
| Authorized Official Contact | 4792063131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Lynne Smith Phd 2107 New Hampshire St Lawrence KS 66046-3047 Ph: (479) 206-3131 | Jennifer Lynne Smith Phd 2107 New Hampshire St Lawrence KS 66046-3047 Ph: (479) 206-3131 |
| NPI Number | 1003178260 |
|---|---|
| Provider Enumeration Date | 06/13/2012 |
| Last Update Date | 01/07/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003178260 | NPI | - | NPPES |
| 12306660 | Other | CAQH | |
| 1-06-3152 | Other | BOARD CERTIFIED BEHAVIOR ANALYST | |
| 10040792A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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