Individual
MICA SKYLAR SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
123 E GAY ST STE A1, WARRENSBURG, MO 64093-1845
(660) 864-0016
(800) 687-5070
Mailing address
4721 S CLIFF AVE STE 103, INDEPENDENCE, MO 64055-6969
(816) 608-1956
(800) 687-5070
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2025030255
MO
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/01/2022
Last updated
07/23/2025
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