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Individual

SHERI HOMISHAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D., BCBA

Contact information

Practice address
410 N ARKANSAS AVE, FAYETTEVILLE, AR 72701-4107
(501) 762-9027
Mailing address
267 TARTAGLIA AVE, SPRINGDALE, AR 72762-3071
(501) 762-9027

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-08-4379
AR
103K00000X
Behavior Analyst
1-08-4379
OK
103K00000X
Behavior Analyst
2239
TX

Other

Enumeration date
12/29/2008
Last updated
04/19/2021
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