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Michaela Smith, BCBA, LBA

Behavior Analyst in Ankeny, IA. Individual provider (NPI-1).

NPI number1316635147
StatusActive
Last updated in NPPESApr 30, 2024

Details

NPI
1316635147
Entity type
Individual (NPI-1)
Name
Michaela Smith
Credential
BCBA, LBA
Sex
Female
Sole proprietor
No
Enumeration date
Apr 28, 2023
Certification date
Apr 30, 2024
Last updated
Apr 30, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst5812TXYes

Practice location

2405 N Ankeny Blvd
Ankeny, IA 50023-4723

Phone 515-446-2080

Mailing address

2713 Crater Lake Ln
Denton, TX 76210-3378

Phone 214-609-5974

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