Individual
TAKESHA S SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
214 FERREL ST, PLATTE CITY, MO 64079-9511
(360) 330-9044
Mailing address
100 GRANT DR, WARRENSBURG, MO 64093-2604
(816) 569-0499
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MO
Other
Enumeration date
09/14/2023
Last updated
10/26/2025
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