Most Relevant Information
Provider Data
| NPI Number: | 1003399668 |
| Provider Name: | CLYDE SMITH |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/10/2018 |
| Last Updated: | 09/10/2018 |
Provider Practice Location
1730 W WALNUT AVE STE A
VISALIA
CA
932776233
Practice Location Phone/Fax
| Phone: | 5598258455 |
| Fax: |
Provider Mailing Location
21600 OXNARD ST STE 1800
WOODLAND HILLS
CA
913677807
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |