Individual
MRS. SUSAN LEIGH BOLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3171 GREEN 905 ROAD, PARAGOULD, AR 72450
(870) 236-0550
Mailing address
3171 GREEN 905 ROAD, PARAGOULD, AR 72450
(870) 236-0550
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-27497
AR
Other
Enumeration date
10/24/2017
Last updated
10/24/2017
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