Provider Demographics
NPI:1447990338
Name:SMITH, CHRISTOPHER MILLER
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:MILLER
Last Name:SMITH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BEHAVIOR FRONTIERS, LLC 7375 WOODWARD AVE, SUITE 2800 D
Mailing Address - Street 2:
Mailing Address - City:DETRIOT
Mailing Address - State:MI
Mailing Address - Zip Code:48202
Mailing Address - Country:US
Mailing Address - Phone:888-922-2843
Mailing Address - Fax:855-568-2494
Practice Address - Street 1:BEHAVIOR FRONTIERS, LLC 7375 WOODWARD AVE, SUITE 2800
Practice Address - Street 2:
Practice Address - City:DETRIOT
Practice Address - State:MI
Practice Address - Zip Code:48202
Practice Address - Country:US
Practice Address - Phone:888-922-2843
Practice Address - Fax:855-568-2494
Is Sole Proprietor?:No
Enumeration Date:2022-03-30
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician