| Missouri Southern State University | |
|
3950 Newman Rd Joplin MO 64801-1512 | |
| (417) 625-9600 | |
| Not Available |
| Full Name | Missouri Southern State University |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3950 Newman Rd, Joplin, Missouri |
| Authorized Official Name and Position | Ayla Schmick (ACACIA CENTER DIRECTOR) |
| Authorized Official Contact | 1756253090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Missouri Southern State University 3950 Newman Rd Joplin MO 64801-1512 Ph: (417) 625-3078 | Missouri Southern State University 3950 Newman Rd Joplin MO 64801-1512 Ph: (417) 625-9600 |
| NPI Number | 1215532775 |
|---|---|
| Provider Enumeration Date | 12/02/2020 |
| Last Update Date | 09/25/2023 |
| Certification Date | 09/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215532775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Secondary |
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