Male or Other

Mr. Charles A. Smith

Behavior Technician in St Petersburg, FL(View on Map)

Full Name

Mr. Charles Anthony Smith

NPI Number

1437651452

NPI Type

Individual Provider

Gender

Male

Enumeration Date

03/06/2018

Specialties

(Taxonomies)

Code

106S00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

8021 36TH AVE N
8021 36TH AVE N

City

St Petersburg
St Petersburg

State

FL
FL

Postal Code

33710-1011
33710-1011

Country

US
US

Telephone Number

(727) 458-3212
(727) 458-3212

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/17/2018

Provider Address

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