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NPI Code Detail

MEDICARE: ANNIKA RUBY SMIT

MEDICARE: ANNIKA RUBY SMIT
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 : 1790617181
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNIKA RUBY SMIT
Provider Business Mailing Address
First Line : 300 INTERNATIONAL PKWY STE 200
Second Line :
City : LAKE MARY
State : FL
Zip : 32746-5028
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1835 PARK AVE
Second Line :
City : SAN JOSE
State : CA
Zip : 95126-1629
Country : US
Telephone Number : 408-885-0805
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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Directions to “ ANNIKA RUBY SMIT ” Practice Location

Language Start Address Practice Location
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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