Most Relevant Information
Provider Data
| NPI Number: | 1003528720 |
| Provider Name: | MONIQUE SMITH |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/14/2022 |
| Last Updated: | 12/11/2023 |
Provider Practice Location
27777 INKSTER RD
FARMINGTON HILLS
MI
483345310
Practice Location Phone/Fax
| Phone: | 2484364354 |
| Fax: |
Provider Mailing Location
27777 INKSTER RD
FARMINGTON HILLS
MI
483345310
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |