Individual
EMILY SEVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3155 N COLLEGE AVE STE 108, FAYETTEVILLE, AR 72703-3500
(479) 957-9121
(479) 777-9967
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
RBT-20-118465
AR
Other
Enumeration date
12/18/2020
Last updated
12/18/2020
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