Individual
MS. BROOKE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1508 BODIE DR, COLUMBIA, MO 65202-6447
(812) 455-5481
Mailing address
1508 BODIE DR, COLUMBIA, MO 65202-6447
(812) 455-5481
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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