Mariah Lynn Smith
Mariah Lynn Smith is a Behavior Technician in Beaverton, Oregon. Practices as a sole proprietor. Licensed in Oregon.
- Licensed in
- OR
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
10700 SW Beaverton Hillsdale Hwy Ste 11Beaverton, OR 97005-3035
Phone: (503) 641-1475
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Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|---|
| Behavior Technician | Taxonomy 106S00000X (OR) |
Record details
| NPI number | 1558994590 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 18, 2020 |
| Last updated in NPPES | December 7, 2021 |
| Certification date | December 7, 2021 |
| Mailing address | 5415 Sw Westgate Dr, Portland, OR 97221-2409 |
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