Individual
ANNE-DREEA E STARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
908 N REYNOLDS RD, BRYANT, AR 72022-3034
(501) 847-9711
(501) 847-6929
Mailing address
PO DRAWER 2109, RUSSELLVILLE, AR 72811
(479) 967-2322
(479) 967-2876
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271216795
—
AR
Enumeration date
07/20/2021
Last updated
01/11/2023
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