Individual
TANA MCKENZIE WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1324 INDUSTRIAL PARK DR, TRUMANN, AR 72472-9801
(870) 375-4422
Mailing address
1324 INDUSTRIAL PARK DR, TRUMANN, AR 72472-9801
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/06/2025
Last updated
03/06/2025
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