Individual
AUDRA G WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 ONYX DR, GREENBRIER, AR 72058-9148
(501) 380-0028
Mailing address
30 ONYX DR, GREENBRIER, AR 72058-9148
(501) 380-0028
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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