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NPI Code Detail

MEDICARE: ARIES MARCELLA SMITH

MEDICARE: ARIES MARCELLA 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 Technician

General Provider Information

NPI Number : 1184550410
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARIES MARCELLA SMITH
Provider Business Mailing Address
First Line : 3442 E WILTON ST APT 1
Second Line :
City : LONG BEACH
State : CA
Zip : 90804-1946
Country : US
Telephone Number : 562-341-6776
Fax Number :
Provider Business Practice Location Address
First Line : 879 W 190TH ST STE 1000
Second Line :
City : GARDENA
State : CA
Zip : 90248-4255
Country : US
Telephone Number : 310-819-4523
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2026
Last Update Date : 06/23/2026

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Directions to “ ARIES MARCELLA SMITH ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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