Marissa Leigh Smith

NPI #1336837285 in Larned, Kansas

Provider Information

NPI Number: 1336837285
Entity Type: Individual
Name: Marissa Leigh Smith
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Apr 28, 2023
Last Updated: Apr 28, 2023

Practice Location

Address: 408 W 6TH ST
City: Larned
State: Kansas
ZIP Code: 67550-3027
Phone: (620) 804-2383

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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