Individual
ALEXIS SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25604 HIGHWAY 112, CAMERON, OK 74932-2612
(479) 252-0707
Mailing address
25604 HIGHWAY 112, CAMERON, OK 74932-2612
(479) 252-0707
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-26-514883
AR
Other
Enumeration date
02/17/2026
Last updated
02/17/2026
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