Individual
ALLEN ROCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
215 N COLLEGE AVE, FAYETTEVILLE, AR 72701-4238
(479) 301-5290
Mailing address
215 N COLLEGE AVE, FAYETTEVILLE, AR 72701-4238
(479) 301-5290
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
A2401010
AR
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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