Individual
PROSPERITY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1500 EWING DR, SEDALIA, MO 65301-2396
(660) 826-4400
Mailing address
1500 EWING DR, SEDALIA, MO 65301-2396
(660) 826-4400
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-250594
MO
Other
Enumeration date
12/30/2022
Last updated
12/30/2022
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