Organization
MISSOURI SOUTHERN STATE UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYLA SCHMICK (ACACIA CENTER DIRECTOR)
(175) 625-3090
Entity
Organization
Contact information
Practice address
3950 NEWMAN RD, JOPLIN, MO 64801-1512
(417) 625-9600
Mailing address
3950 NEWMAN RD, JOPLIN, MO 64801-1512
(417) 625-3078
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
261QP0905X
State or Local Public Health Clinic/Center
—
—
Other
Enumeration date
12/02/2020
Last updated
09/25/2023
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