Individual
MRS. KADEE MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
14733 CLAYTON RD, BALLWIN, MO 63011-2660
(314) 339-7732
Mailing address
385 WOODGREEN DR APT B, BALLWIN, MO 63011-5095
(218) 428-9675
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2021034513
MO
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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