Individual
KAYLI SOSSAMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4300 ROGERS AVE STE 26, FORT SMITH, AR 72903-3152
(479) 867-4988
(501) 325-1255
Mailing address
5021 N BROADWAY ST, POTEAU, OK 74953-9450
(479) 410-7495
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-73536
AR
106S00000X
Behavior Technician
1-12-11455
AR
Other
Enumeration date
07/21/2022
Last updated
10/07/2024
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