Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jaqualyn A Smith

Individual provider Behavior Technician · NPI 1902408727

Jaqualyn A Smith is a Behavior Technician in Broken Arrow, Oklahoma. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

308 N Aspen Ave
Broken Arrow, OK 74012-2205
Phone: (539) 777-0940
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1902408727
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 16, 2020
Last updated in NPPESNovember 16, 2020
Certification dateNovember 16, 2020
Mailing address7343 S Utica Ave Apt 1214, Tulsa, OK 74136-7313

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