Individual
JILLIAN ANTONOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1807 SW REGIONAL AIRPORT BLVD, BENTONVILLE, AR 72713-7755
(479) 318-2300
Mailing address
1005 S SCHOOL AVE, FAYETTEVILLE, AR 72701-5574
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/07/2024
Last updated
02/07/2024
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