Individual
PHILIP HARGRAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
901 W 51ST ST, NORTH LITTLE ROCK, AR 72118-4035
(501) 271-0987
Mailing address
901 W 51ST ST, NORTH LITTLE ROCK, AR 72118-4035
(501) 271-0987
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1522808
AR
Other
Enumeration date
06/23/2026
Last updated
06/23/2026
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