Individual
MRS. JENNIFER DAWN HUBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2846 N GARLAND AVE, FAYETTEVILLE, AR 72704-2164
(479) 439-6906
Mailing address
21 ROSENHEATH CIR, BELLA VISTA, AR 72715-5719
(479) 659-9233
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-28600
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-17-28600
BCBA CERTIFICATION NUMBER
—
Enumeration date
04/09/2019
Last updated
04/17/2023
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