Individual
KELLY JACLYN ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1217 STONE ST, JONESBORO, AR 72401-4520
(870) 972-1268
Mailing address
1217 STONE ST, JONESBORO, AR 72401-4520
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/21/2017
Last updated
06/21/2017
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