NPI 1003585332

Jackson Delaney Smothers

Practitioner Behavior Technician Poplar Bluff, MO

Practice location

Address: 2995 Warrior Ln, Poplar Bluff, MO 63901-8600
Phone: (573) 712-2902

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Missouri →

Registry record

NPI: 1003585332
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Sep 2021
Record last updated: 9 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.