DONTAEVEZ SMITH

SPRINGFIELD, IL
NPI1629934278
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2025-12-29
Last Update Date2025-12-29
Business Address
DONTAEVEZ SMITH
1208 W JEFFERSON ST APT F
SPRINGFIELD, IL 62702-6411
Phone number: 217-953-5038
Mailing Address
DONTAEVEZ SMITH
1208 W JEFFERSON ST APT F
SPRINGFIELD, IL 62702-6411
Phone number: 217-953-5038