Individual
KIMBERLY FORET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20400 COL GLENN, LITTLE ROCK, AR 72015-7221
(501) 821-5500
(501) 821-5500
Mailing address
20400 COL GLENN RD, LITTLE ROCK, AR 72210-5323
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/03/2017
Last updated
07/03/2017
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