Individual
OLIVIA LOVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2601 N WALTON BLVD STE 1, BENTONVILLE, AR 72712-4302
(479) 802-4798
(479) 688-0589
Mailing address
3155 N COLLEGE AVE STE 108, FAYETTEVILLE, AR 72703-3500
(479) 957-9121
(479) 777-9967
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
19-88333
AR
Other
Enumeration date
02/11/2020
Last updated
02/19/2021
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