Individual
ALEISHA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 SW GARDEN ST, GRAIN VALLEY, MO 64029-9548
(816) 265-1170
Mailing address
120 SW GARDEN ST, GRAIN VALLEY, MO 64029-9548
(816) 265-1170
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-502925
MO
Other
Enumeration date
01/06/2026
Last updated
01/06/2026
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