Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Roosevelt Dismukes Jr.

Individual provider Behavior Technician · NPI 1225525744

Roosevelt Dismukes Jr. is a Behavior Technician in Hayti, Missouri. Licensed in Missouri. Registered with an NPI since 2018.

Licensed in
MO
In the registry since
2018
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Practice location Address checks out

500 Highway 61 N J
Hayti, MO 63851
Phone: (573) 359-2600
Fax: (573) 359-1103
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (MO)

Record details

NPI number1225525744
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 19, 2018
Last updated in NPPESApril 19, 2018

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