Individual
HOLLY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
16375 PIERSIDE LN, WILDWOOD, MO 63040-1600
(636) 405-2701
Mailing address
2189 MEADOW GRASS DR, PACIFIC, MO 63069-3652
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/04/2017
Last updated
10/04/2017
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