Kasworm, Lakota

Kasworm, Lakota is an individual health care provider with primary practice located at 5704 Euper Ln Ste 100 , Fort Smith AR 72903-3256. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is his primary health care specialty. Kasworm, Lakota can be contacted via phone (479) 242-4480.

Contact Information

Primary practice address
5704 Euper Ln Ste 100 Fort Smith AR 72903-3256
Phone: (479) 242-4480
Fax: (405) 336-3008
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-20-113658 Arkansas
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-21-56265 Arkansas

Profile Details

NPI number 1598399875
LBN Legal business name Kasworm, Lakota
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2020
Last updated Jan 11th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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