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NPI Code Detail

MEDICARE: JAMESHA DAMONE SMITH

MEDICARE: JAMESHA DAMONE 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
1103K00000XBehavior Analyst1-25-84159IN

General Provider Information

NPI Number : 1457162950
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMESHA DAMONE SMITH
Provider Business Mailing Address
First Line : 6351 S EAST ST STE A
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46227-7116
Country : US
Telephone Number : 463-277-0020
Fax Number :
Provider Business Practice Location Address
First Line : 6351 S EAST ST STE A
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46227-7116
Country : US
Telephone Number : 463-277-0020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2025
Last Update Date : 10/09/2025

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Directions to “ JAMESHA DAMONE SMITH ” Practice Location

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