MRS. Tiffany Louise Smith

NPI #1386288652 in Willow Springs, Missouri

Provider Information

NPI Number: 1386288652
Entity Type: Individual
Name: MRS. Tiffany Louise Smith
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 30, 2019
Last Updated: Oct 30, 2019

Practice Location

Address: 301 E MAIN ST STE 1
City: Willow Springs
State: Missouri
ZIP Code: 65793-1423
Phone: (417) 883-6761

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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