Individual
CHERYL BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1310 BRADLEY DR, MOUNTAIN HOME, AR 72653-2730
(870) 424-4021
Mailing address
3012 TURMAN DR, JONESBORO, AR 72404-8998
(870) 819-0200
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
334543795
—
AR
Enumeration date
10/04/2016
Last updated
02/24/2025
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