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NPI Code Detail

MEDICARE: CARLI SHERIDAN SMITH

MEDICARE: CARLI SHERIDAN 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 Analyst
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1811446081
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLI SHERIDAN SMITH
Provider Business Mailing Address
First Line : 28241 MOUND RD
Second Line :
City : WARREN
State : MI
Zip : 48092-5523
Country : US
Telephone Number : 989-401-2244
Fax Number :
Provider Business Practice Location Address
First Line : 28241 MOUND RD
Second Line :
City : WARREN
State : MI
Zip : 48092-5523
Country : US
Telephone Number : 989-401-2244
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2016
Last Update Date : 01/15/2026

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Directions to “ CARLI SHERIDAN SMITH ” 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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