Individual
EVELYN LAURENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
815 S DONAGHEY AVE, CONWAY, AR 72034-6880
(501) 400-0924
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-40188
AR
Other
Enumeration date
01/08/2018
Last updated
10/30/2023
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