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NPI Code Detail

MEDICARE: SEAN MICHAEL SMITH

MEDICARE: SEAN MICHAEL SMITH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianCA

General Provider Information

NPI Number : 1164368049
Entity Type Code : Individual
Provider Name (Legal Business Name) : SEAN MICHAEL SMITH
Provider Business Mailing Address
First Line : 4540 HARLIN DR
Second Line :
City : SACRAMENTO
State : CA
Zip : 95826-9716
Country : US
Telephone Number : 916-364-7800
Fax Number :
Provider Business Practice Location Address
First Line : 4540 HARLIN DR
Second Line :
City : SACRAMENTO
State : CA
Zip : 95826-9716
Country : US
Telephone Number : 916-364-7800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2026
Last Update Date : 04/24/2026

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Directions to “ SEAN MICHAEL SMITH ” Practice Location

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