Provider Demographics
NPI:1447046198
Name:SMITH, JANEEN MARIE
Entity type:Individual
Prefix:
First Name:JANEEN
Middle Name:MARIE
Last Name:SMITH
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 HARTFORD AVE E APT 303
Mailing Address - Street 2:
Mailing Address - City:UXBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:01569-1386
Mailing Address - Country:US
Mailing Address - Phone:508-954-3121
Mailing Address - Fax:
Practice Address - Street 1:110 CONGRESS ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:MA
Practice Address - Zip Code:01757-2083
Practice Address - Country:US
Practice Address - Phone:508-954-3121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-18
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician