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Organization

SOUTHWEST MISSOURI SPECIALTY SERVICES, LLC

Active
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Organization

SOUTHWEST MISSOURI SPECIALTY SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. BRANDACE L HAYWORTH RBT (DIRECTOR)
(636) 578-7725
Entity
Organization

Contact information

Practice address
503 8TH ST, WASHBURN, MO 65772-7911
(636) 578-7725
(636) 578-7725
Mailing address
503 8TH ST, WASHBURN, MO 65772-7911
(636) 578-7725
(636) 578-7725

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—

Other

Enumeration date
01/26/2026
Last updated
01/26/2026
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