| Specialty | Taxonomy Code | |
|---|---|---|
| * | Professional | 101YP2500X |
| Addiction (Substance Use Disorder) | 101YA0400X | |
| Clinical | 1041C0700X | |
| Community/Behavioral Health | 251S00000X | |
| Exercise & Sports | 103TE1100X |
* Indicates primary specialty
| NPI Number | 1861778102 |
| Legal business name LBN |
SPORTSSMARTS |
| Authorized official | AHMAD BLAKENEY - (CEO) |
| Entity | Organization |
| Organization subpart | No |
| Enumeration date | 11/01/2011 |
| Last updated | 11/01/2011 - About 15 years ago |
| Sole proprietor1 | Not specified |
| Identifiers | n/a |
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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