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Contact Information

BETHANY G SMITH
260 S. MARION AVENUE
BUILDING A, SUITE 135
LAKE CITY, FL32025
 Phone: 352-373-4411
 Fax: 352-373-4455
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Technician

106S00000X
 

Developmental Therapist

222Q00000X
Indicates primary specialty

NPI Profile & details for BETHANY G SMITH · (Female)

NPI Number 1477195543
Status Active
Credentials
Entity Individual
Enumeration date 10/10/2019
Last updated 10/10/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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