JAQUENNA LASHAY SMITH

MACON, GA
NPI1982201059
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: GA  RBT-19-108626)
Enumeration Date2020-10-02
Last Update Date2020-10-02
Business Address
JAQUENNA LASHAY SMITH RBT
4931 RIVERSIDE DR STE 400A
MACON, GA 31210-1195
Phone number: 478-219-7626
Mailing Address
JAQUENNA LASHAY SMITH RBT
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885