Individual
TAYLOR RACHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3155 N COLLEGE AVE, FAYETTEVILLE, AR 72703-3506
(479) 957-9121
Mailing address
3155 N COLLEGE AVE, FAYETTEVILLE, AR 72703-3506
(479) 957-9121
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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