Individual
TAYTELAN FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
5604 ELLSWORTH RD, FORT SMITH, AR 72903-3224
(479) 926-4673
Mailing address
2015 WOODWIND WAY, VAN BUREN, AR 72956-6411
(479) 739-1657
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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