Smith, Calena Marisa
Smith, Calena Marisa is an individual health care provider with primary practice located at 2310 Skyland Pl Se Unit 401 , Washington DC 20020-3411. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Smith, Calena Marisa can be contacted via phone (240) 300-2725.Contact Information
Primary practice address
2310 Skyland Pl Se Unit 401
Washington DC 20020-3411
Phone: (240) 300-2725
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1720784531 |
|---|---|
| LBN Legal business name | Smith, Calena Marisa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2023 |
| Last updated | Feb 2nd, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720784531 | NPPES |
| District of Columbia | MEDICAID | 91457773 |
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