Individual
MICHAELA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
2405 N ANKENY BLVD, ANKENY, IA 50023-4723
(515) 446-2080
Mailing address
2713 CRATER LAKE LN, DENTON, TX 76210-3378
(214) 609-5974
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
5812
TX
Other
Enumeration date
04/28/2023
Last updated
04/30/2024
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