Southwest Missouri Specialty Services, LLC
Organization Active NPI Behavior Analyst · Washburn, MO
NPI 1376492017 · NPPES record last updated Jan 26, 2026
Key facts
- NPI
- 1376492017
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Behavior Analyst 103K00000X
- Legal business name
- SOUTHWEST MISSOURI SPECIALTY SERVICES, LLC
- Practice address
- 503 8TH St
Washburn, MO 65772-7911 - Phone
- (636) 578-7725
- Fax
- (636) 578-7725
- NPI assigned
- Jan 26, 2026
- Organization subpart
- No
Authorized official
- Name
- Ms. Brandace L Hayworth, RBT
- Title
- Director
- Phone
- (636) 578-7725
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst |
103K00000X | Yes | ||
| Community/Behavioral Health Agency | 251S00000X | |||
| Clinic/Center | 261Q00000X | |||
| Developmental Disabilities Clinic/Center | 261QD1600X | |||
| Hearing and Speech Clinic/Center | 261QH0700X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
503 8TH St
Washburn, MO 65772-7911
Mailing address
503 8TH St
Washburn, MO 65772-7911
Phone (636) 578-7725
Other providers in Washburn, MO
All providers in Washburn, MO · Behavior Analyst in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.