MEDICARE: AVA MICHELLE 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
1	373H00000X	Day Training/Habilitation Specialist

General Provider Information

NPI Number	:	1588548523
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AVA MICHELLE SMITH

Provider Business Mailing Address
First Line	:	3115 N MILLBROOK AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93703-1425
Country	:	US
Telephone Number	:	559-600-2382
Fax Number	:

Provider Business Practice Location Address
First Line	:	3115 N MILLBROOK AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93703-1425
Country	:	US
Telephone Number	:	559-600-2382
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/04/2025
Last Update Date	:	05/27/2026

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Directions to “ AVA MICHELLE SMITH ” Practice Location

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