Individual
MS. EMILY GRACE BRANHAM I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1807 SW REGIONAL AIRPORT BLVD, BENTONVILLE, AR 72713-7755
(479) 268-4326
Mailing address
1507 CRESTWOOD HILLS LN, CAVE SPRINGS, AR 72718-6001
(479) 715-9402
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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