Individual
ANDREW MICHAEL ALONSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2846 N GARLAND AVE, FAYETTEVILLE, AR 72704-2164
(479) 439-6906
Mailing address
2846 N GARLAND AVE, FAYETTEVILLE, AR 72704-2164
(479) 439-6906
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AR
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
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