ROOSEVELT DISMUKES JR.

Behavior Technician

Active Individual
NPI: 1225525744

Practice Address

500 HIGHWAY 61 N J
Hayti, MO 63851

Phone: (573) 359-2600

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1225525744 is the National Provider Identifier for ROOSEVELT DISMUKES JR., a Behavior Technician provider located in Hayti, MO. This NPI was enumerated on April 19, 2018.
ROOSEVELT DISMUKES JR. practices at 500 HIGHWAY 61 N J, Hayti, MO 63851.

Quick Facts

NPI
1225525744
Type
Individual
Enumerated
Apr 19, 2018
Last Updated
Apr 19, 2018

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