Michaela Grace Smith

NPI #1710563762 in Owasso, Oklahoma

Provider Information

NPI Number: 1710563762
Entity Type: Individual
Name: Michaela Grace Smith
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 21, 2021
Last Updated: Feb 27, 2023

Practice Location

Address: 9500 N 129TH EAST AVE STE 114
City: Owasso
State: Oklahoma
ZIP Code: 74055-5376
Phone: (855) 223-7123

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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