Individual
ADRIENNE NICOLE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT-17-45544
Contact information
Practice address
2808 FOX MEADOW LANE, JONESBORO, AR 72404
(870) 932-4245
(870) 931-4457
Mailing address
2808 FOX MEADOW LANE, JONESBORO, AR 72404
(870) 932-4245
(870) 931-4457
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-17-45544
IL
Other
Enumeration date
05/11/2018
Last updated
06/20/2024
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