Individual
LAKOTA KASWORM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
5704 EUPER LN STE 100, FORT SMITH, AR 72903-3256
(479) 242-4480
(405) 336-3008
Mailing address
5704 EUPER LN STE 100, FORT SMITH, AR 72903-3256
(479) 242-4480
(405) 336-3008
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-56265
AR
106S00000X
Behavior Technician
RBT-20-113658
AR
Other
Enumeration date
02/26/2020
Last updated
01/11/2022
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